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 101-200 of 316

Eligible?	Additional Document	Expense
Eligible with a detailed receipt		Eyeglasses (prescription)
Not eligible		Face lifts
Not eligible		Feminine hygiene care (Deodorants, General Cleansing products, Feminine spray)
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
Eligible with a detailed receipt		Gastrointestinal medication (over-the-counter)
Eligible with a detailed receipt		Genetic Counseling (for a medical condition)
Eligible with a detailed receipt		Glucosamine and Chondroitin
Not eligible		Gluten Free Products
Eligible with a detailed receipt		Hair regrowth or Rogaine medications (over-the-counter)
Not eligible		Hair regrowth products
Not eligible		Hair removal
Not eligible		Hair transplant
Not eligible		Hand lotion (over-the-counter)
Eligible with a detailed receipt		Hand Sanitizer
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	HCG Injections
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Health club dues (as treatment for a medical condition diagnosed by a licensed health care professional)
Eligible with a detailed receipt		Hearing aids and batteries (OTC or prescribed)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Herbal or homeopathic medicines (over-the-counter)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Home improvements (as required for a medical condition diagnosed by a licensed health care professional)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Hormone Replacement or Pellet Therapy (for treatment of a medical condition)
Eligible with a detailed receipt		Hospital fees
Eligible with a detailed receipt		Hospital services and fees
Not eligible		Household help
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Humidifier, vaporizer, filter and supplies
Not eligible		Hygiene Products (toothbrush, lotion, soap, etc.)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Hypnosis
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Hypoallergenic Encasement products (Only cost difference between special and regular encasement product, plus documentation of cost difference required)
Not eligible		Illegal operations or substances
Eligible with a detailed receipt		Immunizations
Eligible with a detailed receipt		Incontinence (adult) Supplies (e.g., depends)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Incontinence (children) Supplies (e.g., diapers) (for treatment of a medical condition)
Eligible with a detailed receipt		Infertility treatment (for employee, spouse or dependent)
Not eligible		Insect Repellant
Eligible with a detailed receipt		Insulin, testing materials and supplies
Not eligible		Insurance Payment/Adjustment
Not eligible		Insurance Premiums
Eligible with a detailed receipt		Invisalign and other clear dental aligners (including self-service mail order)
Eligible with a detailed receipt		Lab (medical)
Eligible with a detailed receipt		Laboratory fees
Eligible with a detailed receipt		Lactation Supplies: creams/ointment, pad/shields, storage bags/bottles
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Lactose intolerance supplements (Over the Counter)
Eligible with a detailed receipt		Lamaze classes (charges for mother only)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Laser Treatment
Eligible with a detailed receipt		Lasik
Not eligible		Late payment fees charged by health care provider
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Latex Gloves
Eligible with a detailed receipt		Laxatives (over-the-counter)
Eligible with a detailed receipt		Learning disability treatments
Eligible with a detailed receipt		Lice treatment
Eligible with a detailed receipt		Listening therapy
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Lodging (limited to $50 per night for patient to receive dental or vision care and $50 per night for one caregiver)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Lodging (limited to $50 per night for patient to receive medical care and $50 per night for one caregiver)
Not eligible		Long term care services
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Magnetic therapy (over-the-counter)
Eligible with a detailed receipt		Masks
Not eligible		Massage Memberships Dues
Eligible with a detailed receipt		Massage therapy
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Massager guns/devices (as a treatment for a medical condition)
Eligible with a detailed receipt		Mastectomy-related special bras
Not eligible		Maternity clothes
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Mattresses - Once every 10 yrs up to $800 max
Eligible with a detailed receipt		Medical (Co-insurance, Co-Payment, Deductible)
Eligible with a detailed receipt		Medical abortion
Eligible with a detailed receipt		Medical equipment (for treatment of medical condition) and repairs
Not eligible		Medical literature, books, pamphlets or audio
Not eligible		Medical Marijuana (Not eligible)
Eligible with a detailed receipt		Medical monitoring and testing devices
Eligible with a detailed receipt		Medical records charges
Eligible with a detailed receipt		Medical supplies (for treatment of a medical condition)
Eligible with a detailed receipt		Medicines (over-the-counter)
Eligible with a detailed receipt		Menstrual care products (Liners, Pads, Tampons, Cups, Menstrual undergarments)
Eligible with a detailed receipt		Midwife
Not eligible		Mileage (for travel to / from anything other than eligible care)
Eligible with a detailed receipt		Mileage (for travel to/from eligible dental care)
Eligible with a detailed receipt		Mileage (for travel to/from eligible health care)
Eligible with a detailed receipt		Mileage (for travel to/from eligible vision care)
Not eligible		Misc. Personal Use Items
Not eligible		Missed Appointment Fee
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Modified equipment (Only cost difference between special and regular equipment, plus documentation of cost difference required)
Eligible with a detailed receipt		Monitors & test kits (over-the-counter)
Eligible with a detailed receipt		Motion & nausea (Over-the-Counter)
Eligible with a detailed receipt		Nasal Spray (Medicated) (Over-the-Counter)
Eligible with a detailed receipt		Nasal Spray (Saline Solution) (Over-the-Counter)
Eligible with a detailed receipt		Nasal strips (over-the-counter)
Eligible with a detailed receipt		Neti Pot
Eligible with a detailed receipt		Non-prescription drugs and medicines (for non-cosmetic purposes)
Eligible with a detailed receipt		Norplant insertion or removal
Not eligible		Nursing Home Care
Eligible with a detailed receipt		Nursing services (wages and taxes)
Eligible with appropriate documentation	Requires letter of Medical Necessity signed by your doctor, plus detailed receipt	Nutritional Counseling
Eligible with a detailed receipt		OB/GYN fees
Eligible with a detailed receipt		Occlusal guards to prevent teeth grinding
Eligible with a detailed receipt		Occupational therapy (related to a medical condition or disability)

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