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 1-100 of 319

Eligible?	Additional Document	Expense
Eligible with a detailed receipt		Acne treatments (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Activity Tracker
Eligible with a detailed receipt		Acupuncture
Eligible with a detailed receipt		Adoption (medical expenses related to)
Not eligible		Adoption fees
Eligible with a detailed receipt		Alcoholism treatment
Eligible with a detailed receipt		Allergy & sinus medicine (over-the counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Allergy treatments products (HEPA filters, Air purifier, etc.)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Alternative drugs, medicines and treatment products (for treatment of a medical condition)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Alternative healers (for treatment of a medical condition, when rendered by a licensed, certified, and/or registered health care provider)
Eligible with a detailed receipt		Ambulance and emergency health services
Eligible with a detailed receipt		Anesthesia (for non-cosmetic purposes)
Eligible with a detailed receipt		Antacid (over-the-counter)
Eligible with a detailed receipt		Antibiotic ointment (over-the-counter)
Eligible with a detailed receipt		Aspirin or other pain reliever (over-the-counter)
Eligible with a detailed receipt		Asthma medicines or treatments (over-the-counter)
Eligible with a detailed receipt		Athletic treatments / braces
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Baby (special) formula (Only cost difference between special and regular formula, plus documentation of cost difference required)
Eligible with a detailed receipt		Bandages and related items (over-the-counter)
Eligible with a detailed receipt		Birth control (over the counter)
Eligible with a detailed receipt		Birth control (prescription)
Eligible with a detailed receipt		Blood pressure monitor
Eligible with a detailed receipt		Body scans
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Botox (for treatment of a medical condition)
Eligible with a detailed receipt		Braille books and magazines (Only cost difference between standard media and braille media, plus documentation of cost difference required)
Eligible with a detailed receipt		Breast pump
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Breast reconstruction surgery (following mastectomy)
Eligible with a detailed receipt		Breastfeeding classes
Eligible with a detailed receipt		Canker & cold sore treatments (over-the-counter)
Not eligible		Cannabidiol (CBD) Products
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Car modifications (as required for a medical condition diagnosed by a licensed health care professional)
Eligible with a detailed receipt		Chest rubs (over-the-counter)
Not eligible		Child or newborn care instruction
Eligible with a detailed receipt		Childbirth classes (charges for mother only)
Eligible with a detailed receipt		Chiropractic care
Eligible with a detailed receipt		Cholesterol test kits and supplies
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Christian Science practitioners
Eligible with a detailed receipt		Cold & flu medicine (over-the-counter)
Eligible with a detailed receipt		Colon hydrotherapy
Eligible with a detailed receipt		Colonoscopy preparation kit (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Compression or anti-embolism socks, stockings or hose (10-20 mmHg)
Eligible with a detailed receipt		Compression or anti-embolism socks, stockings or hose (20-30 mmHg or 30-40 mmHg)
Eligible with a detailed receipt		Concierge medical fees (billed for actual services received)
Not eligible		Concierge medical fees (billed for future availability of services, with no services actually received)
Eligible with a detailed receipt		Condoms
Eligible with a detailed receipt		Contact lenses and solutions
Eligible with a detailed receipt		Contraceptives (over-the-counter)
Eligible with a detailed receipt		Co-payment (medical, in-network)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Cord blood storage (for future treatment of a birth defect or known medical condition)
Not eligible		Cord blood storage (for unidentified future use)
Eligible with a detailed receipt		Corn and callus remover (over-the-counter)
Eligible with a detailed receipt		Corneal keratotomy
Not eligible		Cosmetic procedures or surgery
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Cosmetic procedures or surgery for birth defects, accidents, and/or disease
Eligible with a detailed receipt		Cough drops & sore throat lozenges (over-the-counter)
Eligible with a detailed receipt		Cough syrup (over-the-counter)
Eligible with a detailed receipt		Counseling (for treatment of a medical condition)
Not eligible		Counseling (marriage)
Eligible with a detailed receipt		COVID Testing
Eligible with a detailed receipt		COVID testing (over-the-counter)
Eligible with a detailed receipt		CPAP and Supplies
Not eligible		CPR classes (adult or child)
Eligible with a detailed receipt		Crutches, canes, walkers or like equipment (purchase or rental)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Cryotherapy - Cold Therapy (for treatment of medical condition)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Dancing lessons (for treatment of a medical condition)
Eligible with a detailed receipt		Defibrillator
Eligible with a detailed receipt		Dental
Eligible with a detailed receipt		Dental Sealants
Eligible with a detailed receipt		Dental (Co-insurance, Co-Payment and Deductible)
Eligible with a detailed receipt		Dental (for non-cosmetic purposes)
Eligible with a detailed receipt		Dental Bridge
Eligible with a detailed receipt		Dental Denture
Eligible with a detailed receipt		Dental Implants
Not eligible		Dental products for general health
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Dental veneers
Eligible with a detailed receipt		Denture Adhesive (Fixodent)
Eligible with a detailed receipt		Denture Cleaner (Efferdent)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Dermatology treatments
Eligible with a detailed receipt		Diabetic monitors, test kits, strips and supplies
Eligible with a detailed receipt		Diagnostic services (other than dental or vision)
Eligible with a detailed receipt		Diaper rash ointments and creams
Not eligible		Diapers and diaper services
Not eligible		Doula (emotional support, parenting information, childcare, and housekeeping)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Doula (itemized medical care only, from a certified provider)
Eligible with a detailed receipt		Drug addiction treatment
Not eligible		Drugs (imported)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Dual-purpose product (Only cost difference between special and regular product, plus documentation of cost difference required)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Dyslexia treatment
Eligible with a detailed receipt		Ear drops & wax removal (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Ear plugs
Not eligible		Educational classes or tuition
Not eligible		Electrolysis
Eligible with a detailed receipt		Emergency (medical) kits
Not eligible		Emergency (non-medical)/disaster survival kits
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Ergonomic home office furniture and accessories (for treatment of a medical condition)
Not eligible		Exceed Plan Maximum
Not eligible		Excessive Mileage
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Exercise equipment or program (as treatment for a medical condition)
Eligible with a detailed receipt		Eye drops and treatments (over-the-counter)
Eligible with a detailed receipt		Eye examinations

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