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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 91-105 of 295
Eligible? Additional Document Expense
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 appropriate documentation Requires Prescription from your doctor, plus detailed receipt Eye drops and treatments (over-the-counter)
Eligible with a detailed receipt Eye examinations
Eligible with a detailed receipt Eyeglasses (prescription)
Not eligible Face lifts
Not eligible Feminine hygiene products
Eligible with a detailed receipt Fertility monitor (over-the-counter)
Eligible with a detailed receipt Fertility treatment (for employee, spouse or dependent)
Not eligible Fertility treatment (for non-dependent surrogate)
Not eligible Finance Charges
Eligible with a detailed receipt First aid kits (over-the-counter)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Fitness programs (as treatment for a medical condition diagnosed by a licensed health care professional)
Eligible with a detailed receipt Flu shots
Not eligible Funeral expenses
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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