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Eligible Health Care FSA (HC FSA) Expenses

Your Health Care FSA covers hundreds of eligible health care services and products.

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.

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Displaying expenses 16-30 of 294
Eligible? Additional Document Expense
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 (cost difference)
Eligible with a detailed receipt Bandages and related items (over-the-counter)
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 (difference in cost only)
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 appropriate documentation Requires Prescription from your doctor, plus detailed receipt Canker & cold sore treatments (over-the-counter)
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)
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Eligibility Legend
Symbol Description
Eligible with a detailed receipt = Eligible with a detailed receipt
Not eligible = Not eligible
Eligible with appropriate documentation = Eligible with appropriate documentation:
Conditional Requirements Legend
Symbol Description
Requires Prescription from your doctor, plus detailed receipt = Requires Prescription from your doctor, plus detailed receipt
Requires letter of Medical Necessity signed by your doctor, plus detailed receipt = Requires letter of Medical Necessity signed by your doctor, plus detailed receipt