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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 1-100 of 295
Eligible? Additional Document Expense
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 appropriate documentation Requires Prescription from your doctor, plus 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)
Eligible with a detailed receipt Ambulance and emergency health services
Eligible with a detailed receipt Anesthesia (for non-cosmetic purposes)
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Antacid (over-the-counter)
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Antibiotic ointment (over-the-counter)
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Aspirin or other pain reliever (over-the-counter)
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)
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 a detailed receipt Christian Science practitioners
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Cold & flu medicine (over-the-counter)
Not eligible Cold cream (over-the-counter)
Eligible with a detailed receipt Colon hydrotherapy
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Colonoscopy preparation kits
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 appropriate documentation Requires Prescription from your doctor, plus 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 appropriate documentation Requires Prescription from your doctor, plus 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 appropriate documentation Requires Prescription from your doctor, plus detailed receipt Cough drops & sore throat lozenges (over-the-counter)
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 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 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)
Not eligible Denture Cleaner (Efferdent)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Dermatology treatments and products
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 appropriate documentation Requires Prescription from your doctor, plus detailed receipt Diaper rash ointments and creams
Not eligible Diapers and diaper services
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Doula or birthing coach
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 Dyslexia treatment
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 kits (over-the-counter)
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 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)
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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