Encircled icon of a desktop computer monitorEncircled hand hold a mobile device on which the screen shows a check markArrow pointing leftArrow pointing rightAt symbol indicating an email addressInstitution IconMenu IconGo to first page symbolClosed book iconBookmark with tabsEncircled image of a handheld calculatorCalculator IconEncircled monthly calendarCalendar shaped box with checkmarkMonth view of a CalendarCaret DownCaret LeftCaret RightCheckmark on a circlular backgroundCheck mark in a square boxChild IconCircleClock faceClose or Cancel symbolThree cogs enmeshedComment bubbleComment bubbleTwo comment bubbles addressing each other in conversationIcon indicating a database as a stack of circlesEncircled image of a small hand laid atop a larger handDependent Care FSA IconDesktop computer monitor over a circle with a shadowDesktop computer iconEncicled open document folderMoney IconEncircled dollar signUS Dollar symbolDotted Arrow IconEdit IconGo to last page symbolPen with checked checkbox within a circleEnvelope IconExclamation Mark within a Triangular SignEncircled hand holding dollar billsEncircled compassEye IconFacebook LogoEdit IconStar IconFax IconEncircled hand holding a dollar signAdobe Acrobat PDF iconSingle, blank file iconTwo files in a stackLightning bolt symbolEncircled file iconA group of peopleEncircled white crossHealth Care Flexible Spending Account IconHeartbeat IconEncircled "i" characterText file icon symbolizing a paper letterEncircled image of two files, one laid above the otherEncircled icons of a tooth and an eyeLimited Expense Healthcase FSA IconEncircled lightbulbList IconLock IconEncircled megaphoneMedkit IconEncircled chat bubbleMobile phone over a circle with a shadowPause IconEncircled stack of coinsPhone IconPlay IconMouse Pointer IconPrescription SymbolPrinter IconQuestion Mark IconEncircled question markEncircled cloud with download symbolSearch IconSecure EmailSign In IconSign out of this siteSpinning circle indicating a process is activeEncircled starStar IconWrench within a circleTwitter LogoUser Icon with Plus SymbolDownload on the App StoreFSAFEDS LogoGet it on Google PlayUnited States Office of Personnel Management
Close Open Menu

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.

Currently showing 50 items per page. Activate to choose another option.
Displaying expenses 201-250 of 294
Eligible? Additional Document Expense
Eligible with a detailed receipt Payment Processing Fees
Eligible with a detailed receipt Physical exams
Eligible with a detailed receipt Physical therapy
Not eligible Physician retainer fee (for on-call or concierge services)
Eligible with a detailed receipt Pregnancy tests (over-the-counter)
Eligible with a detailed receipt Prescription Eyeglasses/ contact lenses
Eligible with a detailed receipt Prescription(Co-insurance, Co-Payment, Deductible)
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Propecia (for treatment of a medical condition)
Eligible with a detailed receipt Prosthesis
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Protein Bars/shakes/powder (not as meal replacement)
Not eligible Provider discount/coupon
Eligible with a detailed receipt Psych / therapy
Eligible with a detailed receipt Psychiatric care/therapy
Eligible with a detailed receipt Radial keratotomy (RK)
Eligible with a detailed receipt Radon Test Kit
Eligible with a detailed receipt Reading glasses (over-the-counter)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Recliner ($750 max)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Reconstructive surgery (following accident or medical procedure or condition)
Eligible with a detailed receipt Rehydration Liquids - Pedialyte - Eligible
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Rehydration Liquids - Sports drinks - LMN Required
Eligible with a detailed receipt Removal of benign mole, cyst or tumor
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Retin-A (for non-cosmetic purposes)
Eligible with appropriate documentation Requires Prescription from your doctor, plus detailed receipt Rogaine or other hair regrowth medications (over-the-counter)
Eligible with a detailed receipt Rx (prescription)
Eligible with a detailed receipt Sales tax, shipping and handling fees (for any eligible expense)
Eligible with a detailed receipt Service Animals (with Certificate of Registration)
Not eligible Service Animals (without Certificate of Registration)
Eligible with appropriate documentation Requires letter of Medical Necessity signed by your doctor, plus detailed receipt Smart Watch (Max 125.00)
Eligible with a detailed receipt Smoking cessation (programs / counseling)
Eligible with a detailed receipt Smoking cessation drugs (prescription)
Eligible with appropriate documentation Requires Prescription from your doctor, plus 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 appropriate documentation Requires Prescription from your doctor, plus detailed receipt Spermicidals
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 (difference in cost)
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 TENS Unit
Eligible with a detailed receipt Therapy (for treatment of a medical condition)
Currently showing 50 items per page. Activate to choose another option.
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