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.
Currently showing 50 items per page. Activate to choose another option.
Displaying expenses 251-300 of 319
| Eligible? | Additional Document | Expense |
|---|---|---|
| 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 |
Currently showing 50 items per page. Activate to choose another option.
| Symbol | Description | |
|---|---|---|
| = | Eligible with a detailed receipt | |
| = | Not eligible | |
| = | Eligible with appropriate documentation: |
| Symbol | Description | |
|---|---|---|
| = | Requires Prescription from your doctor, plus detailed receipt | |
| = | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt |