Eligible Health Care FSA (HC FSA) Expenses

Various Eligible Expenses

You can use your Health Care FSA (HC FSA) funds to pay for a wide variety of health care products and services for you, your spouse, and your dependents. The IRS determines which expenses can be reimbursed by an FSA.

Keep Your Receipts

Please save your receipts and other supporting documentation related to your HC FSA expenses and claims. The IRS may request itemized receipts to verify the eligibility of your expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.

Displaying expenses 201-300 of 319

Eligible?	Additional Document	Expense
Eligible with a detailed receipt		Occupational therapy (related to a medical condition or disability)
Eligible with a detailed receipt		Office visit (medical)
Eligible with a detailed receipt		Office visits (vision)
Eligible with a detailed receipt		Operations (for non-cosmetic purposes)
Eligible with a detailed receipt		Optometrist / ophthalmologist fees
Not eligible		Oral care (over-the-counter)
Eligible with a detailed receipt		Organ transplants (recipient and donor)
Eligible with a detailed receipt		Ortho keratotomy
Eligible with a detailed receipt		Orthodontia
Eligible with a detailed receipt		Orthodontia (braces and retainers)
Eligible with a detailed receipt		Orthopedic & surgical supports
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Orthopedic shoes (Only cost difference between RX orthopedic shoe and non-specialized shoe, plus documentation of cost difference required)
Eligible with a detailed receipt		Orthotics/Orthopedic Inserts
Eligible with a detailed receipt		Over-the-counter (drugs and medicines)
Not eligible		Over-the-Counter medication (2019 Requires Prescription from your doctor)
Eligible with a detailed receipt		Over-the-Counter Product (for treatment of medical condition)
Eligible with a detailed receipt		Ovulation monitor (over-the-counter)
Eligible with a detailed receipt		Oxygen
Eligible with a detailed receipt		Pain reliever (over-the-counter)
Eligible with a detailed receipt		Payment Processing Fees
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Phototherapy - Light Therapy (for treatment of medical condition)
Eligible with a detailed receipt		Physical exams
Eligible with a detailed receipt		Physical therapy
Not eligible		Physician retainer fee (for on-call or concierge services)
Eligible with a detailed receipt		Pregnancy tests (over-the-counter)
Eligible with a detailed receipt		Prescription Eyeglasses/ contact lenses
Eligible with a detailed receipt		Prescription(Co-insurance, Co-Payment, Deductible)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Propecia (for treatment of a medical condition)
Eligible with a detailed receipt		Prosthesis
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Protein Bars/shakes/powder (not as meal replacement)
Not eligible		Provider discount/coupon
Eligible with a detailed receipt		Psych / therapy
Eligible with a detailed receipt		Psychiatric care/therapy
Eligible with a detailed receipt		Radial keratotomy (RK)
Eligible with a detailed receipt		Radon Test Kit
Eligible with a detailed receipt		Reading glasses (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Recliner ($1000 max)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Reconstructive surgery (following accident or medical procedure or condition)
Eligible with a detailed receipt		Rehydration Liquids - Pedialyte - Eligible
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Rehydration Liquids - Sports drinks - LMN Required
Eligible with a detailed receipt		Removal of benign mole, cyst or tumor
Eligible with appropriate documentation	Requires Prescription from your doctor, plus detailed receipt	Retin-A (for non-cosmetic purposes)
Eligible with a detailed receipt		Rx (prescription)
Eligible with a detailed receipt		Sales tax, shipping and handling fees (for any eligible expense)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Service Animals (for blindness or vision impairment) (with Certificate of Registration)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Service Animals (services not related to blindness or vision impairment) (with Certificate of Registration)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Service Animals (with Certificate of Registration)
Not eligible		Service Animals (without Certificate of Registration)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Smart Watch (Max 125.00)
Eligible with a detailed receipt		Smoking cessation (programs / counseling)
Eligible with a detailed receipt		Smoking cessation drugs (prescription)
Eligible with a detailed receipt		Smoking cessation gum or patches (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Special school (for mental and physical disabilities)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Special/Durable Medical Equipment(rental or purchase)
Eligible with a detailed receipt		Speech therapy
Eligible with a detailed receipt		Spermicidals (over-the-counter)
Eligible with a detailed receipt		Stethoscope
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Storage Fees: (Embryo, Egg, Sperm)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Sun Protective Clothing (Only cost difference between special and regular clothing, plus documentation of cost difference required)
Not eligible		Sunglasses (over-the-counter)
Eligible with a detailed receipt		Sunglasses (prescription)
Not eligible		Sunscreen with SPF <15 or suntan lotion (over-the-counter)
Eligible with a detailed receipt		Sunscreen with SPF 15+ and "broad spectrum", sunburn creams and ointments (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Supplements (for treatment of medical condition)
Eligible with a detailed receipt		Supplies (for treatment of a medical condition)
Eligible with a detailed receipt		Surgery (for non-cosmetic purposes)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Swimming lessons (for treatment of a medical condition)
Not eligible		Teeth bleaching or whitening
Eligible with a detailed receipt		Teeth grinding prevention devices
Eligible with a detailed receipt		Telehealth / Remote Care
Eligible with a detailed receipt		TENS Unit
Eligible with a detailed receipt		Therapy (for treatment of a medical condition)
Not eligible		Tips/Gratuities
Eligible with a detailed receipt		Toothache and teething pain reliever (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Toothpaste, medicated (Only cost difference between medicated and regular toothpaste, plus documentation of cost difference required)
Not eligible		Toothpaste, toothbrush, floss, etc.
Eligible with a detailed receipt		Transgender treatments/surgery
Eligible with a detailed receipt		Transportation: Airfare (for treatment of a medical condition)
Eligible with a detailed receipt		Transportation: Bus, Train, Taxi, Parking expenses (for eligible care/expenses)
Not eligible		Transportation: Bus, Train, Taxi, Parking expenses (for non-eligible care/expenses)
Eligible with a detailed receipt		Tubal ligation
Not eligible		Tuition or educational classes
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Tuition or educational classes (for a specific medical condition)
Eligible with a detailed receipt		Urological products
Eligible with a detailed receipt		Vaccinations
Eligible with a detailed receipt		Varicose vein removal surgery (for medical care)
Eligible with a detailed receipt		Vasectomy
Eligible with a detailed receipt		Viagra and similar prescription medications
Eligible with a detailed receipt		Vision
Eligible with a detailed receipt		Vision - contact lenses solutions
Eligible with a detailed receipt		Vision - Prescription Goggles and Masks
Eligible with a detailed receipt		Vision (Co-insurance, Co-Payment, Deductible) - Eligible
Eligible with a detailed receipt		Vision Contact lenses case
Eligible with a detailed receipt		Vision correction treatment/surgery
Eligible with a detailed receipt		Vision Eye Patch
Eligible with a detailed receipt		Vision: Ortho keratotomy/Orthokeratology
Eligible with a detailed receipt		Vision: Eye Glass Repair Kit
Eligible with a detailed receipt		Vision: Lens Wipes
Eligible with a detailed receipt		Vision: Prescription Eyeglasses/ contact lenses
Not eligible		Vitamins - General Health

Eligibility Legend
Symbol		Description
	=	Eligible with a detailed receipt
	=	Not eligible
	=	Eligible with appropriate documentation:

Conditional Requirements Legend
Symbol		Description
	=	Requires Prescription from your doctor, plus detailed receipt
	=	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt