Eligible expenses include custodial care of dependents while employee is at work. For a more detailed search engine, see: Examples of FSA-Eligible Expenses* Acupuncture Insulin, Testing Materials and Alcoholism Treatment Supplies Ambulance Lab Fees Artificial Limbs Lead-Based Paint Removal* Artificial Teeth / Dentures Operations (for Non-Cosmetic Athletic Wrap / Brace Purposes) Bandages Medical Services Fees Birth Control* Organ Transplants Capital Expenses for Home Oral Surgery Improvements Needed for Medical Orthodontic Fees Care* Orthopedic Devices Chiropractors Over-the-Counter Medicines* Christian Science Practitioner’s Fees Oxygen Equipment and Oxygen Contact Lenses and Solution Part of Life-Care Fee paid to Retirement Co-Payments Home for Medical Care* Cost and Care of Guide Dogs Prescriptions Crutches / Canes / Walkers Psychologist Fees Deductibles Smoking Cessation Programs Dental Fees (Non-Cosmetic) Special School or Home for Mentally or Diabetic Testing Supplies Physically Disabled Persons* Diagnostic Fees Sunscreen (SPF 15 and higher only) Drug and Medical Supplies Surgical Fees Eyeglasses Prescription and OTC Transportation for needed Medical Care – Eye Examination Fees Treatment at a Drug or Alcohol Center Eye Surgery to Correct Vision Vasectomy Fertility Monitor and Treatment Wages for Nursing Services First Aid Kit Weight Loss Programs Associated with Health Insurance Deductibles a Specific Disease* Hearing Aids, including Batteries Wheelchair Hospital Services Fees X-Rays *Due to Healthcare Reform, some expenses and OTC medications, like aspirin or cold medication are eligible for FSA reimbursement only when accompanied by a prescription or letter of medical necessity from your provider. For a more detailed search engine for FSA eligible expenses, see:
Eligible expenses include custodial care of dependents while employee is at work. For a more detailed search engine, see: Examples of FSA-Eligible Expenses* Acupuncture Alcoholism Treatment Ambulance Artificial Limbs Artificial Teeth / Dentures Athletic Wrap / Brace Bandages Birth Control* Capital Expenses for Home Improvements Needed for Medical Care* Chiropractors Christian Science Practitioner’s Fees Contact Lenses and Solution Co-Payments Cost and Care of Guide Dogs Crutches / Canes / Walkers Deductibles Dental Fees (Non-Cosmetic) Diabetic Testing Supplies Diagnostic Fees Drug and Medical Supplies Eyeglasses – Prescription and OTC Eye Examination Fees Eye Surgery to Correct Vision Fertility Monitor and Treatment First Aid Kit Health Insurance Deductibles Hearing Aids, including Batteries Hospital Services Fees Insulin, Testing Materials and Supplies Lab Fees Lead-Based Paint Removal* Operations (for Non-Cosmetic Purposes) Medical Services Fees Organ Transplants Oral Surgery Orthodontic Fees Orthopedic Devices Over-the-Counter Medicines* Oxygen Equipment and Oxygen Part of Life-Care Fee paid to Retirement Home for Medical Care* Prescriptions Psychologist Fees Smoking Cessation Programs Special School or Home for Mentally or Physically Disabled Persons* Sunscreen (SPF 15 and higher only) Surgical Fees Transportation for needed Medical Care Treatment at a Drug or Alcohol Center Vasectomy Wages for Nursing Services Weight Loss Programs Associated with a Specific Disease* Wheelchair X-Rays *Due to Healthcare Reform, some expenses and OTC medications, like aspirin or cold medication are eligible for FSA reimbursement only when accompanied by a prescription or letter of medical necessity from your provider. For a more detailed search engine for FSA eligible expenses, see:
claim_submission_only_hra_fsa_dca_ee_handout.docx