SERVICES — ELIGIBLE OTC EXPENSES · Abdominoplasty, more commonly referred to as a tummy tuck, is...

Did you know you can use your FSA for hundreds of qualified health care services and medical procedures? Pay for them using an FSA card or submit claims and receipts to your FSA administrator for reimbursement. Some services may require a prescription or Letter of Medical Necessity for reimbursement. It's best to always check in with your FSA administrator on the details of your plan and what specifically is covered.

ELIGIBLE OTC EXPENSES

FSA eligible products designated with this symbol can be purchased with an FSA card and do not require a prescription to be reimbursed by an FSA.

FSA eligible with prescription products designated with this symbol require a prescription to be reimbursed by an FSA.

— SERVICES —

https://fsastore.com/Help/FSA-Eligible-Products-requiring-OTCprescription-in-2011.aspx

https://fsastore.com/Help/FSA-Eligible-Products-requiring-OTCprescription-in-2011.aspx

AbdominoplastyAbdominoplasty, more commonly referred to as a tummy tuck, is not an eligible expense as it is for cosmetic purposes.

Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not EligibleNot Eligible


Not Eligible

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AcupressureAcupressure is an eligible expense when required for treatment of a medical condition. To show that the treatment is medically necessary, an FSA administrator will often require a Letter of Medical Necessity or doctor's note. Ask your FSA administrator as to what type of documentation they require.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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AA Meetings are eligible.



S AA Meetings

Eligible

EligibleEligible

Eligible w/LMN

Eligible w/LMNEligible w/LMN

AcupunctureAcupuncture is eligible when treatment is medically necessary. Your FSA administrator may require a Letter of Medical Necessity in order for the service to be eligible. Ask your FSA administrator as to what type of documentation they require.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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EligibleEligible

EligibleEligibleEligibleEligible

Eligible

EligibleEligible

Eligible w/LMN


Air Fare Related to Medical TreatmentWhen air fare is primarily for and essential to medical care, it is eligible.



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Eligible

EligibleEligible

Note: The IRS defines which medical expenses are eligible under a tax-deferred account. However, plan sponsors may only allow some of these expenses with your plan. It's important to always check with your benefits administrator to determine which expenses are eligible before you shop.

Alopecia TreatmentAlopecia causes hair loss on the body or head that can lead to baldness. With a Letter of Medical Necessity, Alopecia treatment is eligible.



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Eligible w/LMN


Alternative HealersAlternative healers provided by professionals may be eligible when required for treatment of a specific medical condition. A Letter of Medical Necessity may be required, depending on the service.



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Eligible w/LMN


Alcoholism/Substance Abuse TreatmentAlcoholism and substance abuse treatment is eligible. This includes meals & lodging for inpatient care, and fees & transportation to meetings if a doctor's note indicates meetings are needed for treatment.



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Eligible

EligibleEligible

Ambulance and Emergency RoomAmbulance and Emergency Room services are eligible. This includes air lifts and flights to hospitals.



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Eligible

EligibleEligible

AnesthesiaAnesthesia is an eligible medical expense.



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Eligible

EligibleEligible

Alternative TreatmentsAlternative medical treatments, such as hypnosis, meditation, etc., may be eligible with a Letter of Medical Necessity.



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Eligible Eligible w/LMN


Adult DaycareAdult daycare may qualify under a Dependent Care FSA when the adult is dependent on the account holder.




Eligible w/Rx

Eligible w/RxEligible w/Rx

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After-School Care or Extended Day ProgramsAfter-School Care is eligible with a Dependent Care FSA.




Eligible w/Rx


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AdoptionOnce a child is adopted, medical expenses for the qualifying dependent child are eligible.



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Eligible

EligibleEligible

Agency FeeEligible with a Dependent Care FSA




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Appearance improvementsCosmetic procedures, such as those to improve someone's physical appearance, are not eligible. Also see "Cosmetic procedures".



Not Eligible


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AutopsyThe cost of an autopsy is not a qualified medical expense.



Not Eligible


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Automobile Modifications

Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


SModifications necessary for a medical condition may be eligible with a Letter of Medical Necessity from a doctor. The expense of operating a vehicle with medical modifications is not eligible.

Flexible Spending Account (FSA) Eligible w/LMN


Artificial ReproductionArtificial Reproduction is eligible when required to overcome a medical condition in order to conceive. A Letter of Medical Necessity may be required for reimbursement.



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Eligible w/LMN


Assisted LivingAssisted living is generally not eligible as the intention is to help adults in need with every day tasks vs. provide medical care.




Not Eligible

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Artificial Insemination

Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


SEligible if artificial insemination is required to overcome a medical condition in order to conceive. May require a Letter of Medical Necessity for reimbursement.

Flexible Spending Account (FSA) Eligible w/LMN


BlepharoplastyBlepharoplasty (eyelid surgery) is not eligible as it is a cosmetic procedure. Also see Cosmetic Procedures.




Not Eligible

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Bleaching, teeth whiteningBleaching and teeth whitening are not eligible as they are cosmetic procedures.




Not Eligible

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Birthing CoachIf necessary for treatment or assistance with a medical condition, a birthing coach may be eligible, provided that a Letter of Medical Necessity is provided as documentation.



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Birthing ClassesBirthing/Lamaze classes are partially Eligible. Only the portion of the class that relates to the process of childbirth is eligible. Examples include: breathing techniques, stages of labor, labor & delivery procedures, birthing positions, vaginal & Cesarean delivery.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Eligible w/Rx


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Behavioral modification programsBehavioral modification programs may be eligible under an FSA when required for treatment of a specific medical condition. For a Dependent Care FSA, behavioral modification programs are eligible if they are for a qualified child or relative and allow the parent or guardian(s) to be gainfully employed, search for gainful employment or a full-time student(s).


Not Eligible

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Eligible w/LMN


Eligible

Bariatric SurgeryBariatric surgery is an eligible expense when required for treatment of a medical condition, such as obesity.



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Eligible

EligibleEligible

Blood StorageBlood storage is sometimes eligible if it is to treat an existing or imminently probable disease. A Letter of Medical Necessity will likely be required.



SBabysitting and child careBabysitting, child care, and nursing services for a healthy baby do not qualify as medical care, but may be covered under a Dependent Care FSA if specific requirements are met, including that the guardian(s) are gainfully employed during the time a qualifying child is cared for, a full-time student(s) or searching for gainful employment.




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Eligible

Blood DonationA fee associated with blood donation for subsequent use by the account holder, spouse or eligible dependent is a qualified medical expense.



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Eligible

EligibleEligible

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Breast ReductionFor treatment of a medical condition, breast reduction is an eligible expense. May require a Letter of Medical Necessity.



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Eligible w/LMN


Breast Reconstruction SurgeryBreast reconstruction is eligible following a mastectomy for treatment of cancer.



S

Eligible

EligibleEligible

Breast Implant RemovalIf causing a medical problem, the cost to remove a breast implant is a qualified medical expense. A Letter of Medical Necessity will likely be required.



S

Eligible w/LMN


Breast AugmentationThe cost of breast augmentation (such as an implant or injection) is not a qualified medical expense. Also see Cosmetic treatment.




Not Eligible

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Bonding of the teethTeeth bonding may be eligible if required for treatment of a medical condition. A Letter of Medical Necessity would be required.


Not Eligible

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Body Restoration TechniqueBody Restoration Technique may be eligible with a Letter of Medical Necessity from a licensed professional when required for treatment of a medical condition.



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Eligible w/LMN


Boutique Practice FeesFees to belong to a Boutique Practice are not eligible. Fees for medical services actually received at a Boutique Practice are eligible.




Not Eligible

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Books, health-relatedHealth-related books to help a person with a diagnosed medical condition learn about or treat that condition are eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Body ScanA body scan is eligible even if the individual is not experiencing symptoms of illness and has not obtained a doctor's recommendation before undergoing the procedure because the procedure serves no non-medical function. It is still eligible even if less expensive alternatives exist.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

Breastfeeding ClassesBreastfeeding classes are an eligible medical expense with a Letter of Medical Necessity.



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Eligible w/LMN


Bracanalysis TestingBracanalysis testing is an eligible medical expense, as it tests DNA for genetic mutations or when there is inherent risk of disease.



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Eligible

EligibleEligible

Braille BooksBooks/magazines in Braille are eligible for the excess cost of the Braille item over a normally priced item. This includes audio products (e.g., CDs).Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

BracesBraces are eligible. Also see Orthodontia.



S

EligibleEligible

EligibleEligible

Bus Fare for Medical Treatment or ServicesTravel related to medical treatment or services is eligible. Documentation will be required to show that the travel is in relation to medical treatment or care.



S

Eligible

EligibleEligible

BridgesBridges are eligible dental treatment.


Not Eligible

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EligibleEligible

EligibleEligible

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Childbirth ClassesBirthing/Lamaze classes are partially Eligible. Only the portion of the class that relates to the process of childbirth is eligible. Examples include: breathing techniques, stages of labor, labor & delivery procedures, birthing positions, vaginal & Cesarean delivery.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible w/LMN


ChildbirthAll expenses related to the birth of a child are eligible. Expenses for the child may be eligible as well, provided that they are added as a dependent on the plan.



S

Eligible

EligibleEligible

Chemical PeelA chemical peel is for cosmetic purposes and therefore not eligible. Also see Cosmetic Procedures.




Not Eligible

S

Chelation TherapyWill qualify if used to treat a medical condition such as lead poisoning. A Letter of Medical Necessity may be required.



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Eligible w/LMN


Cardiac TreatmentCardiac treatment is eligible.



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Eligible

EligibleEligible

Car ModificationsCar modifications necessary for someone with a disability may be eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Car Changes for Health ReasonsCar changes related to medical reasons are generally eligible as they do not typically increase the value of the vehicle.



S

Eligible w/LMN


Capital ExpendituresCapital expenditures (e.g., elevators, ramps, widening doorways) are eligible when medical-ly necessary.



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Eligible w/LMN


Camps (summer or holiday day camps)Camp costs for children under the age of 13 or dependents incapable of self-care may be covered under a Dependent Care FSA, provided that the camp enables the parent or parents to be gainfully employed, seek gainful employment or attend school full-time.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



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Eligible

Car RentalCar rental necessary for transportation to or from a medical related appointment or stay may be eligible. Documentation would need to include the applicable medical appointment. Gas is also reimbursable, up to the allowed medical mileage rate which for 2014 is $.23.5/mile.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Cancer ScreeningsCancer screenings are required for diagnosis or treatment of a medical condition, and therefore eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

Camps (overnight)Overnight camps are not an eligible expense.




Not Eligible

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Camps (soccer, football, ballet, etc. day camps)Camp costs for children under the age of 13 or dependents incapable of self-care may be covered under a Dependent Care FSA, provided that the camp enables the parent or parents to be gainfully employed, seek gainful employment or attend school full-time.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



S

Eligible

Cancer Insurance PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



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Eligible

Child CareBabysitting/child care/dependent care expenses are ineligible. This is the case even if the reason for the dependent care is to enable the parent to receive medical care; however, an expense for medical care of the disabled dependent is eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



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Eligible

Chinese Herbal PractitionersChinese herbal practitioner fees are eligible. Also see "Alternative healers".



S

Eligible

EligibleEligible

Colon Therapy, Colon Hydrotherapy, ColonicsColon Therapy, Colon Hydrotherapy and Colonics are eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Collagen InjectionsCollagen injections that are for treatment of a medical condition are eligible.



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Eligible w/LMN


Co-PaymentsMedical, Dental and Vision co-payments are all eligible with an FSA or HSA, and may be with an HRA.



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Eligible

EligibleEligible

Club DuesMay be eligible health club membership is required to treat a medical condition. Will require a Letter of Medical Necessity from a physician.



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Eligible w/LMN


ClinicMedical treatment received at a health clinic is eligible as well as dental care or eye care at a dental or eye clinic.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

Classes, health-relatedHealth related classes necessary for understanding or treatment of a specific medical condition may qualify with a Letter of Medical Necessity.



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Eligible w/LMN


CircumcisionCircumcision is related to medical care and therefore eligible.



S

Eligible

EligibleEligible


COBRA PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify. Legal Information / Regulations: Cafeteria Plan (CP) Regs '1.125-5(k)(4) '223(d)(2)(C) Notice 2002-45Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



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Eligible

Co-InsuranceMedical, Dental and Vision co-insurance payments are all eligible with an FSA or HSA, and may be with an HRA.



S

Eligible

EligibleEligible

Christian Science PractitionerChristian science practitioner treatment is related to medical treatment and therefore eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

Companion AnimalsThe cost for a companion animal that is required for medical care is eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Chiropodist TreatmentExpenses for a Chiropodist are eligible.



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Eligible

EligibleEligible

Compression SocksCompression socks that are used to treat a medical condition are eligible. They may require a Letter of Medical Necessity for reimbursement.



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Eligible w/LMN


Compression HoseCompression hoses are sometimes eligible if the item is being used to treat a medical condition. Only the excess cost is reimbursable, and a doctor's note must indicate that it is medically necessary and the individual would otherwise not have purchased the item 'but for' the medical condition.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible w/LMN


Concierge FeesFees to retain a concierge doctor are not eligible. Cost of medical services conducted are eligible.



Not EligibleNot EligibleNot Eligible

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Constipation TreatmentsConstipation treatments are eligible OTC medical items with a prescription from a doctor.



Eligible w/Rx


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Crowns, dentalDental crowns may be eligible if they are required for dental treatment and not for a cosmetic purpose. May require a Letter of Medical Necessity.



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Eligible w/LMN


CrystalensCrystalens are an eligible medical expense.



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Eligible

EligibleEligible

CrutchesUnder IRS ' 213(d)(1), "medical care includes amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body." This includes medical equipment, supplies and devices.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible


Corneal KeratotomyCorneal Keratotomy is an eligible medical expense.



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Eligible

EligibleEligible

Convalescent HomeThe cost of medical care provided in a convalescent or nursing home (for ex., following a hospital stay or surgery) is a qualified medical expense. This includes the cost of meals and lodging in the convalescent/nursing home if the main reason for being there is to receive medical care. Also see Rehabilitation center. Specifically Not Covered: The cost of custodial care in a convalescent or nursing home (for ex., long-term care) is not an FSA-qualified expense.



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Eligible

EligibleEligible

Cord Blood StorageCord blood storage is sometimes eligible if it is to treat an existing or imminently probable disease.



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Eligible w/LMN


Cosmetic ProceduresCosmetic procedures (e.g., facelift, Botox, hair transplants, liposuction, teeth whitening) are usually ineligible, unless the procedure is necessary to improve a deformity due to a congenital abnormality, personal injury/trauma or disfiguring disease.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



Not Eligible

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Corneal Ring SegmentsThe cost of these devices implanted in the eye to correct vision is an eligible medical expense.



S

Eligible

EligibleEligible

CounselingCounseling for a medical or mental condition is eligible.



S

Eligible

EligibleEligible

Crania-Sacral TherapyWhen medically necessary, the cost of Crania-Sacral Therapy is eligible with a Letter of Medical Necessity.



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Eligible w/LMN


CPR ClassCPR class is not an eligible expense.




Not Eligible

S

Dental CareDental care is eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Deductible CostDeductible expenses are related to medical care or treatment and therefore eligible.



S

Eligible

EligibleEligible

DaycareThe cost of daycare is a qualified eligible expense under a Dependent Care FSA when it is necessary for a parent or parents to be gainfully employed, a full-time student(s), or search for gainful employment. Daycare is only eligible for children under the age of 13 unless the child is physically or mentally incapable of self-care.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



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Eligible

Dance LessonsThe cost of dance lessons is generally not an eligible expense. If dance lessons are recommended by a medical professional to treat a specific medical condition, the expense may be eligible provided that it would not have been incurred "but for" the medical condition. Typically, a Letter of Medical Necessity from a professional would be required.




Not Eligible

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DenturistAmounts paid to a denturist for treatment of a dental condition are eligible expenses.


Not Eligible

S

EligibleEligible

EligibleEligible

Dental VeneersIf medically necessary. For cosmetic purposes, not eligible.


Not Eligible

S



Dental Services and ProceduresDental services and procedures are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Dental SealantsWhen required for medical treatment, dental sealants are an eligible expense.


Not Eligible

S

EligibleEligible

EligibleEligible

Dental ReconstructionWhen required for medical treatment, dental reconstruction is an eligible expense.


Not Eligible

S

EligibleEligible

EligibleEligible

Dental ProceduresDental procedures are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Dental Maintenance Organization (DMO) FeesPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.




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Eligible

Dental Insurance PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.




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Eligible


DermabrasionDermabrasion is typically for cosmetic purposes and therefore not eligible. Also see Cosmetic Procedures.




Not Eligible

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Dependent CareDependent Care is not required for treatment, prevention or diagnosis of a medical condition and therefore not eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

Dermatology TreatmentDermatology treatment may or may not require a Letter of Medical Necessity or prescription dependent upon the service and treatment.



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Eligible w/LMN


Eligible w/Rx

Eligible w/Rx

Diagnostic ServicesDiagnostic services are eligible.



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Eligible

EligibleEligible

DieticianWhen recommended by a health care professional for a medical condition, amounts paid to a dietitian are qualified medical expenses. A Letter of Medical Necessity will likely be required.



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Eligible w/LMN


Dietary SupplementsDietary supplements are typically not eligible, unless to treat a specific illness.



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Eligible w/LMN


Eligible w/Rx

Eligible w/Rx

Disabled Dependent Care ExpensesMedical expenses for a disabled dependent are eligible. Under a Dependent Care FSA, expenses for care of a disabled dependent are eligible provided that the care is for a qualifying dependent.


Not Eligible

S

EligibleEligible

EligibleEligible

Disability PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.




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Eligible


Disabled Person, expenses forExpenses for a disabled person, such as a wheelchair, braille books and magazines, a guide dog and special medical care, are eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible

Donor FeesDonor fees are sometimes eligible, if the expense prepares the individual, the spouse or dependent for the procedure. Eligible expenses include donor fee, legal fees, testing and agency fee.



S

Eligible

EligibleEligible

Doctor FeesDoctor's fees are eligible provided that medical care was actually received.



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Eligible

EligibleEligible

DNA StorageIf medically necessary for treatment of an existing or imminent medical condition, DNA storage may be eligible with a Letter of Medical Necessity from a practitioner.



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Eligible w/LMN


DoulaIf medically necessary for treatment of a medical condition, a doula may be eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Drug Overdose TreatmentTreatment for a drug overdose is eligible including any required counseling or rehabilitation.



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Eligible

EligibleEligible

Drug Addiction Treatment & CounselingDrug Addition Treatment and Counseling is eligible.



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Eligible

EligibleEligible

Dyslexia TreatmentIf medically necessary for treatment of dyslexia, treatment is eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Egg Recipient FeesEgg recipient fees are sometimes eligible, if the expense prepares the individual, the spouse or dependent for the procedure. Eligible expenses include donor fee, legal fees, testing and agency fee.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible w/LMN


Egg Donor FeesEgg donor fees are sometimes eligible, if the expense prepares the individual, the spouse or dependent for the procedure. Eligible expenses include donor fee, legal fees, testing and agency fee.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible w/LMN


Egg and Embryo Storage FeesEgg storage, when stored for a immediate use and medically necessary is eligible.



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Eligible w/LMN


Educational Classes for Medical ConditionFees for classes for education of a medical condition are eligible.



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Eligible w/LMN


ElectrolysisElectrolysis is related to cosmetic purposes, and does not treat or alleviate a medical condition, and is therefore not eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible



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Elder CareElder care may be eligible on a Dependent Care FSA. The adult must live with you at least 8 hours of the day and must be claimed as a dependent on your Federal Tax return. For a Dependent Care FSA, the expenses for care that allow the FSA holder and his or her spouse if applicable to be gainfully employed, search for gainful employment, or a full-time student(s) will qualify.


Not Eligible

S

EligibleEligible

EligibleEligible

Ear PiercingEar piercing is not medically necessary and therefore not eligible. Also see Cosmetic Procedures.



Not Eligible


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Eye SurgeryEye surgery is eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Eye ExamsEye exams are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Expenses That Have Been Reimbursed Previously Under Or Could Be Reimbursed Under Another Medical PlanExpenses that have been reimbursed previously under or could be reimbursed under another medical plan are not eligible medical expenses.




Not Eligible

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Embryo StorageEmbryo storage may be eligible if required for treatment of a medical condition, with a Letter of Medical Necessity.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible w/LMN


Experimental Medical ServicesWhen performed by a health care professional to treat a medical condition, the costs of experimental medical services are eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


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Eligible

EligibleEligible


Expenses Not Incurred During the Coverage PeriodThe expense must be incurred during the period of coverage, or plan year, to be eligible. Expenses not incurred during the period of coverage are not eligible.




Not Eligible

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Fitness ProgramsFitness programs may be eligible for the treatment of a medical condition when accompanied with a prescription or Letter of Medical Necessity.



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Eligible w/LMN


Finance ChargesFees that are finance charges for unpaid medical expenses are not eligible medical expenses.



Not Eligible


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Field TripsField trips are not eligible.



Not Eligible


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Face LiftA face lift is for cosmetic purposes and as such, not eligible.



Not Eligible


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Fluoride TreatmentFluoride treatment is eligible OTC that does not require a prescription for reimburse-ment.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

Fluoridation ServicesIf recommended by a dentist, fluoridation services are eligible with a Letter of Medical Necessity.



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Eligible w/LMN


Foreign Countries, Medical Care Received inExpenses incurred in a foreign country by a qualifying account holder or dependent would be eligible in accordance with the same rules that apply to care received in the U.S.



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Eligible

EligibleEligible

Founder's FeeFounder's fees related to assisted living are not eligible.



Not Eligible


S

Fuel, Gasoline for Medical CareFuel is eligible for transportation to and from medical care, up to the allowed medical mileage rate, which for 2015 is $.23/mile.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

F GET $10 OFFYour first order with FSAstore.com




Funeral ExpensesFuneral expenses are not eligible.




Not Eligible

S

Gambling TreatmentIf required for treatment of a medical condition, gambling treatment may be eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Gastric Bypass Surgery Including Excess Skin RemovalThe cost of surgical procedures for obesity treatment such as gastric bypass surgery is an eligible medical expense.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Genetic TestingGenetic testing is eligible when necessary for the diagnoses, mitigation, treatment or prevention of an existing or imminent disease.



S

Eligible w/LMN


Guide DogExpenses are eligible if the individual is physically disabled (e.g., blind), including expens-es related to the animal's maintenance or care.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

GynecologistCare received at a gynecologist is an eligible expense.



S

Eligible

EligibleEligible

Hair Regrowth or RemovalCosmetic expenses are not eligible



Not Eligible


S

Hair RemovalCosmetic expenses are not eligible



Not Eligible


S

Home Health CareHome health care is usually eligible, if services are for medical care. Reimbursement can cover room and board if medically necessary. Services can occur in the individual's home or another facility. The caregiver does not need to be a registered nurse as long as services are typically provided by nurses.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

HMO (Health Maintenance Organization)Insurance premiums are never eligible under an FSA. They are eligible under an HSA and sometimes eligible under an HRA.



Not Eligible

Not Eligible

S

Eligible

Health Club Dues & FeesHealth club/gym fees are sometimes eligible, if a doctor's note indicates fees are needed to treat a medical condition, and the individual would otherwise not have purchased the item 'but for' the medical condition. These expenses are ineligible if for general health.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN


Half Way HouseThe cost of a half way house necessary for treatment of an addiction or other medical condition may be eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Hair Removal and TransplantsHair removal and transplants are considered cosmetic expenses and not eligible.



Not Eligible


S

Health Institute FeesGeneral health institute fees are not eligible. If treatment a health institute is prescribed, the fees are eligible.



Not Eligible

Not Eligible

S

Eligible

G GET $10 OFFYour first order with FSAstore.com



H GET $10 OFFYour first order with FSAstore.com




Hyperbaric Oxygen TherapyHyperbaric oxygen therapy is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


HydrotherapyHydrotherapy is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Human GuideTo assist a physically, visually, hearing or mentally impaired person, the cost of a human guide is a qualified medical expense.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Household HelpGeneral household help is not eligible. Nursing services are eligible, if services are for medical care. Reimburse-ment can cover room and board if medically necessary. Services can occur in the individual's home or another facility. The caregiver does not need to be a registered nurse as long as services are typically provided by nurses.



Not Eligible

Not Eligible

S

Eligible

Home ImprovementsHome improvements related to medical care may be eligible, with a Letter of Medical Necessity and only if the improvements do not increase the value of the home.



S

Eligible w/LMN


Hospital Insurance PremiumsPremiums not eligible on an FSA, may be on an HRA and are eligible on an HSA, unless already paid for with pre-tax dollars.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



S

Eligible

Hospital CareHospital care is eligible.



S

Eligible

EligibleEligible

HypnosisHypnosis is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


HousekeeperNot required for treatment, prevention or diagnosis of a medical condition and therefore not eligible.



Not Eligible

Not Eligible

S

Eligible

Hospital Services and FeesHospital services and fees are eligible.



S

Eligible

EligibleEligible

Individual Insurance PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.



Not Eligible

Not Eligible

S

Eligible

InclinatorIf required for medical care or treatment, an Inclinator may be eligible provided that it does not enhance the value of the property. Also see Capital expenses.



S

Eligible w/LMN


In Vitro Fertilization (IVF)IVF expenses for an account holder or qualified dependent are eligible.



S

Eligible

EligibleEligible

ImmunizationsImmunizations are eligible.



S

Eligible

EligibleEligible

Illegal Operations and TreatmentsIllegal operations and treatments in violation of federal law are not eligible.



Not Eligible


S

I GET $10 OFFYour first order with FSAstore.com




IV Equipment and StandsIV Equipment and stands are eligible.



S

Eligible

EligibleEligible

Investigational SurgeryInvestigational surgery is a qualified medical expense.



S

Eligible

EligibleEligible

Insurance PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with you administrator as to which premiums will qualify.



Not Eligible

Not Eligible

S

Eligible

Infertility TreatmentInfertility treatment is eligible.



S

Eligible

EligibleEligible

Invisalign OrthodonticsOrthodontia is an eligible expense.



S

Eligible

EligibleEligible

Language TrainingWhen required for treatment of a medical condition, language training may be an eligible expense. A Letter of Medical Necessity will be required.



S

Eligible w/LMN


Lamaze ClassesLamaze classes are typically eligible but only for the mother.



S

Eligible

EligibleEligible

Lactation ConsultantA lactation consultant is eligible.



S

Eligible

EligibleEligible

Laboratory FeesRequired for medical care and therefore eligible.



S

Eligible

EligibleEligible

KinesiologyWhen required for medical care, kinesiology costs are eligible. Sometimes a Letter of Medical Necessity will be required.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Kenalog InjectionsKenalog injections are for cosmetic purposes and therefore not eligible. Also see Cosmetic Procedures.



Not Eligible


S

LasikLASIK laser eye surgery and vision correction are eligible if expenses are to correct vision, including myopia, if performed primarily to promote proper function of eye.


Not Eligible

S

EligibleEligible

EligibleEligible

Laser Hair RemovalLaser hair removal is a cosmetic expense and therefore not eligible. Also see Cosmetic Procedures.



Not Eligible


S

Laser Eye SurgeryLaser eye surgery is eligible.



S

Eligible

EligibleEligible

K GET $10 OFFYour first order with FSAstore.com



L GET $10 OFFYour first order with FSAstore.com




Legal FeesLegal fees related to authorization for treatment of a medical condition may be eligible with Letter of Medical Necessity



S

Eligible w/LMN


Legal AbortionIf abortion is legal under the state law, it is an eligible expense.



S

Eligible

EligibleEligible

Learning Disability TreatmentLearning disability expenses are sometimes eligible, if a doctor's note indicates tuition & fees (e.g., special school, tutoring) are necessary to treat a learning disability caused by mental or physical impairment (e.g., nervous disorders, mental retardation).



S

Eligible

EligibleEligible

Lead-Based Paint RemovalLead-based paint removal may be eligible with a Letter of Medical Necessity or documentation indicating that the purpose of the charge was for removal of the paint, for treatment of a medical condition, eligible with a Letter of Medical Necessity.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN


Late Pickup FeesLate pickup fees are not eligible, even with a Dependent Care FSA.



Not Eligible


S

Late Payment Provider FeesLate payment provider fees are not eligible, although surcharge fees may be.



Not Eligible


S Lifetime care advance paymentInsurance premiums are never eligible under an FSA. They are sometimes eligible under an HSA and sometimes eligible under an HRA.



Not Eligible


S

Life Alert Emergency Medical Alert SystemThe cost of a life alert emergency medical alert system is an eligible medical expense.



S

Eligible

EligibleEligible

LessonsWhen required for treatment of a medical condition, fees paid for lessons may be eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Lodging of a CompanionWill qualify if accompanying a patient for medical reasons. If a parent is traveling with a child receiving care, $50 for each person will qualify.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible

S

Eligible

Eligible

Lodging for Medical CareLodging expenses are sometimes eligible. The expenses must be for an individual receiving medical care at a hospital or similar institution. These expenses are also eligible for an individual receiving medical care and an accompanying individual at a non-hospital up to $50 per night, per individual, if there is no significant element of personal pleasure, recreation or travel and lodging is not lavish or extravagant.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN


LiposuctionCosmetic expenses are not eligible



Not Eligible


S

Lodging while attending a medical conferenceLodging while attending a medical conference is not an eligible expense.



Not Eligible


S

Listening TherapyListening therapy is eligible.



S

Eligible

EligibleEligible

Long-Term CareLong-term care is not eligible on an FSA.



Not Eligible


S

Long Term DisabilityPremiums not eligible on an FSA, may be on an HRA and are eligible on an HSA, unless already paid for with pre-tax dollars.



Not Eligible


S


Long-Term Care PremiumsPremiums not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with your administrator as to which premiums will qualify.



Not Eligible

S

EligibleEligible

Meals while attending a medical conferenceThe cost of meals while attending a medical conference are not eligible.



Not Eligible


S

Meals of a companionExpenses for the meals of a companion are not eligible even if accompanying a patient for medical reasons.



Not Eligible


S

Meals not at a hospital or similar institutionMeals at a hospital or similar medical institution are eligible for the individual receiving care.



Not Eligible


S

Massage TherapyMassage therapy is not eligible unless for treatment of a medical condition, in which case a Letter of Medical Necessity must be provided.



S

Eligible w/LMN


Marriage CounselingMarriage counseling is not eligible. Counseling required for treatment of a medical condition is eligible.



Not Eligible


S

Magnetic TherapyMagnetic therapy for treatment of a medical condition is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Maternity ChargesMedical maternity charges are eligible.



S

Eligible

EligibleEligible

Medical Records ChargeMedical record charges are eligible, if the fee is for the purpose of medical care (e.g., transferring to a new doctor).Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Medical NewsletterA medical newsletter is not an eligible expense.



Not Eligible


S

Medical conference admission, transportation, meals, etc.If the attendance of a medical conference is required for treatment of a medical condition of the account holder or qualified dependent, the cost of admission and transportation to the conference are eligible with a Letter of Medical Necessity. The cost of meals and lodging for the conference are not eligible.



S

Eligible w/LMN


Medical Care Outside the U.S.The cost of legal medical care received outside the U.S. is a qualified medical expense.



S

Eligible

EligibleEligible

Medical/Dental/Vision Office VisitsOffice visits for a medical, dental, or vision provider are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Medicare PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with your administrator as to which premiums will qualify.



Not Eligible

Not Eligible

S

Eligible

Micro-DermabrasionMicro-dermabrasion is a cosmetic expense and therefore not eligible.



Not Eligible


S

M GET $10 OFFYour first order with FSAstore.com




Missed Appointment FeeA missed appointment fee is not eligible.



Not Eligible


S

MidwifeMidwife treatment is eligible.



S

Eligible

EligibleEligible

Mentally Handicapped, Special HomeA special home necessary for a mentally handicapped person may be an eligible expense with a Letter of Medical Necessity.



S

Eligible w/LMN


Mold RemovalThe primary purpose is not to treat a medical condition but instead to promote general health. There is no IRS precedent (i.e., a Revenue Ruling or Information Letter) for reimbursing these expenses through a Health FSA related to mold removal, and therefore, it is not eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible


S

Mileage for Travel for Medical CareMileage for travel related to medical care is eligible up to the allowed mileage rate which is adjusted for inflation each year.



S

Eligible

EligibleEligible

Menopause Treatment Medical ServiceMenopause treatment and medical services are eligible. Menopause medicines will require a prescription.



S

Eligible

EligibleEligible

NannyA nanny is not related to medical care and therefore not eligible.




S

Eligible

Norplant Insertion or RemovalNorplant insertion or removal is an eligible expense.



S

Eligible

EligibleEligible

No Show Fee By ProviderNo show fees by a provider are not an eligible expense.



Not Eligible


S

Newborn CareMedical care for a newborn covered under the account is eligible.


Not Eligible

S

Eligible

EligibleEligibleEligible

NeurologistAmounts paid to a neurologist are qualified medical expenses.



S

Eligible

EligibleEligible

Natural Lens ReplacementNatural lens replacement is eligible when medically necessary with a Letter of Medical Necessity. Also see Crystalens.



S

Eligible w/LMN


Newborn Nursing CareNursing services while at the hospital for a newborn covered by the plan are eligible.



S

Eligible

EligibleEligible

Nursing ServicesNursing services are usually eligible, if services are for medical care. Reimbursement can cover room and board if medically necessary. Services can occur in the individual's home or another facility. The caregiver does not need to be a registered nurse as long as services are typically provided by nurses.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Nursing HomeThe cost of medical care provided in a nursing home is a qualified medical expense. This includes the cost of meals and lodging in the nursing home while medical care is provided.



S

Eligible

EligibleEligible

N GET $10 OFFYour first order with FSAstore.com




Nursing SuppliesNursing supplies are eligible.



S

Eligible

EligibleEligible

OptometristFees for an Optometrist are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

OperationsOperations are eligible.



S

Eligible

EligibleEligible

Online or Telephone Consultation, Medical Practitioner's FeeIf the online or telephone consultation is for treatment of a medical condition it is an eligible expense.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

OncologistFees for an Oncologist are eligible.



S

Eligible

EligibleEligible

Occupational TherapyOccupational therapy is eligible.



S

Eligible

EligibleEligible

Obstetrical CareThe cost of obstetrical care is a qualified medical expense.



S

Eligible

EligibleEligible

OB/GYNAn OB/GYN is eligible.



S

Eligible

EligibleEligible

OphthalmologistFees for an Ophthalmologist treatment or care are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

OrthokeratologyOrthokerotology is eligible.



S

Eligible

EligibleEligible

OrthodontiaOrthodontia expenses are eligible even if payment is in full and services have not yet been fully incurred (assuming plan design permits reimbursement of full payment).Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

Ortho KeratotomyOrtho Keratotomy is eligible.



S

Eligible

EligibleEligible

Oral Remedies and TreatmentsOral remedies and treatments are eligible. If an OTC oral treatment contains a medical ingredient, a prescription from a doctor is required.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

Organ DonorMedical expenses for donor and recipient paid by account holder are eligible.



S

Eligible

EligibleEligible

Organ TransplantOrgan transplants are eligible both for the organ recipient as well as the donor.



S

Eligible

EligibleEligible

O GET $10 OFFYour first order with FSAstore.com




Osteopath FeesOsteopath fees are eligible.



S

Eligible

EligibleEligible

OSHA Handling Fees for Bio-Hazards Waste DisposalFees paid for Bio-Hazard Waste Disposal are eligible.



S

Eligible

EligibleEligible

Out-of-network providerFees for an out-of-network provider, even if not covered by the primary insurance plan, are eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Ostomy, Colostomy SuppliesSupplies for colostomy and ostomy are eligible.



S

Eligible

EligibleEligible

Physical Exam for CaregiverThe cost of a physical exam for a potential caregiver is not a qualified expense under a Dependent Care FSA.



Not Eligible


S

PhototherapyPhototherapy is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Personal TrainerA personal trainer may be eligible for treatment of a medical condition with a Letter of Medical Necessity.



S

Eligible w/LMN


Penile ImplantsIf necessary to treat a medical condition, a penile implant would be eligible.



S

Eligible w/LMN


PedicureA pedicure is not medically necessary and therefore not eligible.



Not Eligible


S

Paternity TestThe cost of a DNA test to determine paternity is not a qualified medical expense.



Not Eligible


S

Pastoral CounselingCounseling for a medical condition is eligible. Pastoral counseling is typically not medically related so not eligible.



Not Eligible


S Physical ExamsPhysical exams are eligible.



S

Eligible

EligibleEligible

PET ScanThe cost for a PET scan is eligible.



S

Eligible

EligibleEligible

Parking for Medical Care or TreatmentParking costs associated with medical care only are eligible.



S

Eligible

EligibleEligible

Physical TherapyPhysical therapy is eligible.



S

Eligible

EligibleEligible

P GET $10 OFFYour first order with FSAstore.com




PsychoanalysisWhen required for treatment of a medical condition, the cost of Psychoanalysis is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Prescription Drug Discount ProgramsA fee to participate in a Prescription Drug Discount Program is not eligible.



Not Eligible


S

Prepayment of Medical ExpensesExpense must first be incurred to be eligible so prepayment of medical expenses is typically not eligible. Check with your administrator for exceptions and details.



Not Eligible


S

PremiumsPremiums are not eligible on an FSA and may be eligible on an HRA or HSA, unless already paid for with pre-tax dollars. Check with your administrator as to which premiums will qualify.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible


S

Physician Retainer FeeA physician retainer fee is not required for treatment, prevention or diagnosis of a medical condition and therefore not eligible. Medical treatments actually performed by the physician are eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible


S

Pre-Natal UltrasoundA pre-natal ultrasound is eligible.



S

Eligible

EligibleEligible

Pre-Existing ConditionDue to health care reform, most plans won't have a pre-existing condition limitation. However, if they do, the cost associated with a pre-existing condition not covered by a primary insurance plan is eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Pregnancy AidsThese expenses are eligible if the tests are used to determine whether the individual is pregnant.



S

Eligible

EligibleEligible

PsychologistThe cost of a psychologist is eligible.



S

Eligible

EligibleEligible

Preventive Care ScreeningsThese expenses are eligible as long as the tests are used for diagnosis of the presence of a disease or a dysfunction of the body. Under the ACA, preventive care is now paid at 100%, first dollar so this expense does not arise very often.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Psychiatric careCosts associated with psychiatric care are eligible.



S

Eligible

EligibleEligible

Preschool or Nursery SchoolEligible under a Dependent Care FSA




S

Eligible

Private hospital roomAn additional cost for a private hospital room is eligible.



S

Eligible

EligibleEligible

Radon MitigationIf a doctor recommends radon mitigation due to it causing a medical condition from being in a home, the cost of mitigation is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Radial KeratotomyRadial Keratotomy



S

Eligible

EligibleEligible

R GET $10 OFFYour first order with FSAstore.com




RhinoplastyRhinoplasty is not eligible as it is considered cosmetic. Also see Cosmetic Procedures.



Not Eligible


S

Rental CarsCosts associated with renting a car needed for transportation to and from a medically related visit may be eligible. Also eligible is the mileage for the vehicle up to the allowed rate, which is currently .$23.5/mile. Also see Transportation.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Rehabilitation CenterThe cost of a rehabilitation center necessary for treatment of an addiction or medical issue is eligible.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

ReflexologyIf needed to treat a medical condition, the cost of reflexology is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


S

Screening TestsWill qualify if the tests are used for medical diagnoses. Examples include hearing, vision, and cholesterol screenings. Also see Body scans and Diagnostic items/services.



S

Eligible

EligibleEligible

Seeing-eye DogThe cost of a seeing-eye dog is an eligible expense.



S

Eligible

EligibleEligible

Service AnimalThe cost of a service animal is eligible when needed to assist with care or treatment of a medical condition.



S

Eligible

EligibleEligible

Schools and education, specialThe cost for a mentally or physically disabled person to attend a special school are eligible if the primary purpose is for the person to receive treatment for their condition.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)

Not Eligible

S

EligibleEligible

EligibleEligible

Scar TreatmentScar treatment is generally not eligible as it is for cosmetic purposes. If needed for treatment of a medical condition, scar treatment may be eligible with a Letter of Medical Necessity.



Not Eligible


S

Schools and education, residentialIf the primary reason for attending the school is to receive medical care, the cost may be eligible with a Letter of Medical Necessity. If attending the school is for education purposes only, it generally won't qualify, even for a Dependent Care FSA.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN


Sales TaxIn relation to medical condition or services, a sales tax is eligible.



S

Eligible

EligibleEligible

Sexual CounselingIf required for treatment of a medical condition, the cost of sexual counseling will qualify with a Letter of Medical Necessity.



S

Eligible w/LMN


Sexual DysfunctionWhen recommended for treatment of a medical condition, costs associated with treatment of sexual dysfunction are eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Shipping FeesShipping and handling fees to obtain an item (e.g., drugs) are reimbursable if the fees are required for the legal procurement of that item.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Skin Tag RemovalIf it is medically necessary that the skin tag be removed, the cost is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN



Sleep Deprivation TreatmentSleep deprivation treatment is eligible.



S

Eligible

EligibleEligible

SomnoplastySomnoplasty is eligible.



S

Eligible

EligibleEligible

Smoking Cessation ProgramsSmoking cessation treatment is eligible.



S

Eligible w/LMN


Speech TherapySpeech therapy is eligible when the expense is incurred primarily for the prevention or alleviation of a physical or mental defect or illness (e.g., special training, such as speech and lip reading, designed to alleviate the loss of speech attributable to deafness).Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Special SchoolA special school for treatment of a medical condition is eligible.


Not Eligible

S

Eligible w/LMN


Eligible

Sperm Storage FeesSperm storage, when stored for a immediate use and medically necessary is eligible.



S

Eligible w/LMN


Stop-Smoking ProgramA stop-smoking program is eligible.



S

Eligible

EligibleEligible

SterilizationSterilization is eligible.



S

Eligible

EligibleEligible

Substance AbuseSubstance abuse treatment is eligible.



S

Eligible

EligibleEligible

Subway Fare for Medical Care or TreatmentFor subway fare associated with medical care is eligible.



S

Eligible

EligibleEligible

Student Health FeeA student health fee is generally not eligible.



Not Eligible


S

SurgerySurgery is eligible.



S

Eligible

EligibleEligible

Summer CampDay camp eligible under Dependent Care FSA is eligible.




S

Eligible

Summer SchoolSummer school is not an eligible expense.



Not Eligible


S

Surrogate MotherThese expenses won't qualify, even if the expenses are for medical care of the surrogate mother and the unborn child. Reimbursable medical care must be for the employee, employee's spouse or other tax dependents. An unborn child is not yet a tax dependent.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

Swimming LessonsSwimming lessons for treatment of a medical condition with a Letter of Medical Necessity are eligible.



S

Eligible w/LMN



Swimming PoolSwimming pools for general use are not eligible. However, is a pool is required for treatment of a medical condition, it may be eligible with a Letter of Medical Necessity.



Not Eligible


S

TTanning Salons and Equipment

Tanning salons and equipment are not eligible as they are cosmetic.



Not Eligible


S

Taxes on Medical Services and ProductsTaxes for medical services and products are eligible.



S

Eligible

EligibleEligible

Telephone consultation (health care professional fee)A fee charged by a health care professional for a telephone consultation is a qualified medical expense.



S

Eligible

EligibleEligible

Telephone for Hearing Impaired IndividualThese expenses are eligible for individuals with a hearing impairment in order to enable them to communicate effectively over a regular telephone.



S

Eligible

EligibleEligible

Television for Hearing-ImpairedThese expenses are eligible for individuals with a hearing impairment.



S

Eligible

EligibleEligible

Teeth Grinding PreventionTeeth grinding prevention is eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Taxi FareTransportation related to medical treatment or services is eligible. Documentation will be required to show that the travel is in relation to medical treatment or care.



S

Eligible

EligibleEligible

Teeth WhiteningTeeth whitening is for cosmetic purposes and not eligible.



Not Eligible


S

TherapyTherapy is typically eligible.



S

Eligible

EligibleEligible

ThermographyThe cost of a Thermography is an eligible expense.



S

Eligible

EligibleEligible

Tolls for Medical Care or TreatmentToll costs associated with medical care only are eligible.



S

Eligible

EligibleEligible

Transgender Treatment or SurgeryTransgender treatment or surgery is potentially eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


TransplantCosts associated with a transplant are eligible.



S

Eligible

EligibleEligible

Transportation costs of disabled individual commuting to and from workA disabled individual's commuting costs to and from work are personal expenses and not expenses for medical care. However, the costs incurred for transportation to and from work may be medical expenses if the employment itself is explicitly prescribed as therapy to treat a medical condition.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible


S


Tuition for special-needs programIf the tuition is for a program that is required for treatment of a medical condition, they would be eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


TutoringIf required for treatment of a medical condition, eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Transportation expenses for person to receive medical careWill qualify if the transportation is primarily for and essential to medical care. Includes car and rental car expenses; bus, taxi, train, plane, and ferry fares; and ambulance services. Instead of actual car expenses, a standard mileage rate (24 cents per mile for 2013; 23.5 cents per mile for 2014) for use of a car to obtain medical care is allowed. Parking fees and tolls can also qualify.



S

Eligible

EligibleEligible

Travel or Transportation for Medical CareThese expenses qualify if primarily for and essential to medical care. Reimbursable expenses include car/rental car, bus, taxi, train, plane & ferry fares. Ambulatory services are also included. Parking and toll fees are also included. This extends not just to the person receiving medical care but to other individuals: Parent required to travel with a child, nurse/caregiver required for treatment, and an other person, if visits are required for treatment of mentally ill dependent . Mileage rates are adjusted for inflation each year.



S

Eligible

EligibleEligible

Transportation costs of disabled individual commuting to and from workA disabled individual's commuting costs to and from work are personal expenses and not expenses for medical care. However, the costs incurred for transportation to and from work may be medical expenses if the employment itself is explicitly prescribed as therapy to treat a medical condition.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible


S

Tricare PremiumsA disabled individual's commuting costs to and from work are personal expenses and not expenses for medical care. However, the costs incurred for transportation to and from work may be medical expenses if the employment itself is explicitly prescribed as therapy to treat a medical condition.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


Not Eligible

Not Eligible

S

Eligible

Transportation expenses for person to receive medical careWill qualify if the transportation is primarily for and essential to medical care. Includes car and rental car expenses; bus, taxi, train, plane, and ferry fares; and ambulance services. Instead of actual car expenses, a standard mileage rate (24 cents per mile for 2013; 23.5 cents per mile for 2014) for use of a car to obtain medical care is allowed. Parking fees and tolls can also qualify.



S

Eligible

EligibleEligible

Travel or Transportation for Medical CareThese expenses qualify if primarily for and essential to medical care. Reimbursable expenses include car/rental car, bus, taxi, train, plane & ferry fares. Ambulatory services are also included. Parking and toll fees are also included. This extends not just to the person receiving medical care but to other individuals: Parent required to travel with a child, nurse/caregiver required for treatment, and an other person, if visits are required for treatment of mentally ill dependent . Mileage rates are adjusted for inflation each year.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible

EligibleEligible

TuitionSummer school is not an eligible expense.



Not Eligible


S

Tuition evidencing separate breakdown for medical expensesIf the expenses are clearly shown for medical and not towards general tuition costs, they would be eligible.



S

Eligible

EligibleEligible

UrinalysisThe cost of urinalysis for medical conditions is an eligible medical expense.


Not Eligible

S

Eligible

EligibleEligible

Not Eligible

UCR, Charges AboveMedical expenses in excess of your plan's usual, customary and reasonable charges are eligible.



S

Eligible

EligibleEligible

UltrasoundThe cost of an ultrasound for medical care is an eligible medical expense.



S

Eligible

EligibleEligible

Ultrasound, PrenatalA prenatal ultrasound relating to prenatal care is eligible.



S

Eligible

EligibleEligible

Umbilical cord blood storageCollection and storage as a precaution to treat a disease or condition that might possibly develop in the future is not eligible. If required for treatment of a known medical defect, it may qualify.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN


U

Usual and customary charges, excessMedical expenses in excess of an insurance plan's usual, customary, and reasonable charges qualify if the underlying expense is for medical care.



S

Eligible

EligibleEligible

UVR treatmentsUVR treatment required for treatment of a medical condition is eligible. It will typically require a Letter of Medical Necessity.



S

Eligible w/LMN



VaccinationsVaccinations are eligible.



S

Eligible

EligibleEligible

Vasectomy and vasectomy reversalA vasectomy or vasectomy reversal is eligible.



S

Eligible

EligibleEligible

Varicose Vein SurgeryVaricose vein surgery is eligible.



S

Eligible

EligibleEligible

VacationVacation is not an eligible expense.



Not Eligible


S

VeneersVeneers are not eligible. Also see Cosmetic procedures.



Not Eligible


S

V

Veterinary feesVeterinary fees are not eligible as a pet is not a qualified dependent. Fees incurred for the veterinary care of a guide dog or service animal may qualify however.



Not Eligible


S

Vision CorrectionVision correction surgery is eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

Vision Discount ProgramsVision discount program fees are not eligible.



Not Eligible


S

WWarranties

Warranties are not required for treatment, prevention or diagnosis of a medical condition and therefore not eligible.



Not Eligible


S

Water FluoridationWater fluoridation may be eligible when necessary to treat a medical condition. A Letter of Medical Necessity will be required.


Not Eligible

S



Weight Loss CounselingWeight loss counseling for treatment of a medical condition is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


Weight Loss Programs or DrugsExpenses are eligible, if a doctor's note indicates the program is needed to treat a medical condition (e.g., obesity, hypertension). Expenses are ineligible if to improve general health. Special foods are also ineligible because they are food substitutes that meet normal nutritional requirements.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)


S

Eligible w/LMN



X

Y

Well-Child CareWell-child care is eligible.



S

Eligible

EligibleEligible

Wellness ScanA wellness scan necessary to diagnose a medical condition is eligible.



S

Eligible

EligibleEligible

Weight Loss SurgeryWeight loss surgery required for treatment of a medical condition such as obesity is eligible with a Letter of Medical Necessity.



S

Eligible w/LMN


X-Ray FeesX-Ray fees are eligible.


Not Eligible

S

EligibleEligible

EligibleEligible

YMCA day campYMCA or similar day camps may qualify for Dependent Care FSA reimbursement provided that it allows the parent or parents to be gainfully employed, a full-time student, or search for gainful employment.Flexible Spending Account (FSA)Limited Care FSADependent Care FSAHealth Savings Account (HSA)Health Reimbursement Account (HRA)



S

Eligible

SERVICES — ELIGIBLE OTC EXPENSES · Abdominoplasty, more commonly referred to as a tummy tuck, is...

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Transcript of SERVICES — ELIGIBLE OTC EXPENSES · Abdominoplasty, more commonly referred to as a tummy tuck, is...