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 201-250 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)

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