Aetna - Eligible Health Care Expenses

Shortcuts

FSA Forms

Eligible Health Care Expenses

Eligible Dependent Care Expenses

IRS Website

FAQs

Debit Card Certified Merchants

AetnaFSA en Español

Eligible Health Care Expenses

The following information included in this site is general and may be changed or updated without notice. For individualized tax related information, please consult your tax adviser. In case of a conflict between your plan documents and this information, the plan documents will govern. Please refer to your employer's Summary Plan Description for more information about your covered benefits. (Rev. 12/06)

Browse the Health Care Expenses Table

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Expense

Covered

Not Covered

IRS Guidelines

Acne treatment			When the treatment is for cosmetic purposes (for ex., to reduce wrinkles), the cost is not a qualified medical expense.
			When the treatment is for cosmetic purposes (for ex., to reduce wrinkles), the cost is not a qualified medical expense.
			The cost of regular skin care is not a qualified medical expense.
Acupuncture			When recommended by a health care professional for a medical condition, the cost of acupuncture is a qualified medical expense.
Adoption			If the child is a tax-qualified dependent at the time services were rendered, medical expenses paid for a child prior to adoption are qualified medical expenses.
			Fees relating to the adoption process and fees for medical expenses incurred prior to beginning adoption negotiations are not qualified medical expenses.
			Expenses incurred by the birth mother associated with an adopted baby’s birth are not reimbursable.
Air conditioner, air filter, purifier			When recommended by a health care professional for a medical condition, the cost of a portable or permanent unit is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement. For permanent units, see Capital expenses.
Air filter			See Air conditioner, air filter, purifier.
Alcoholism, drug addiction			The cost of treatment at a center for alcohol or drug addiction is a qualified medical expense. This includes meals and lodging provided by the inpatient center during treatment.
			When recommended by a health care professional, fees and transportation to attend Alcoholics Anonymous (AA) meetings are reimbursable. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement. Also see Transportation.
Allergy medicine			When used to treat or alleviate allergy symptoms, the cost of allergy medicine is a qualified medical expense. (Examples include Benadryl, Claritin, Dimetapp, etc.)
Allergy treatment products			If the product would be owned even without allergies (such as a pillow or vacuum cleaner), the expense is generally not reimbursable.
			When recommended by a health care professional for a medical condition, the cost of an allergy treatment product may be a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement. Also see Air conditioner, air filter, purifier. Note: The reimbursable expense includes only the amount above the cost of the product in its standard form.
Alternative providers			When recommended by a health care professional for a medical condition, the cost of a homeopathic or holistic treatment/procedure may be a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement.
			Naturopathic procedures and treatments using natural agents such as air, water or sunshine are generally not reimbursable.
Ambulance			The fee paid for ambulance service is a qualified medical expense.
Analgesics			The cost of an analgesic is a qualified medical expense. (Examples include Advil, aspirin, Caladryl, Tylenol, Vicks, etc.)
Anesthesiology			Anesthesiology fees are qualified medical expenses.
Antacids			The cost of an antacid is a qualified medical expense. (Examples include Alka-Seltzer, Brioschi, Maalox, Milk of Magnesia, Mylanta, Pepto-Bismal, Prilosec OTC, etc.)
Antibiotic ointment			The cost of antibiotic cream or ointment is a qualified medical expense. (Examples include Cortaid, Neosporin, Polysporin, etc.)
Antihistamines			The cost of an antihistamine is a qualified medical expense. (Examples include Benadryl, Claritin, etc.)
Anti-itch cream			The cost of anti-itch cream is a qualified medical expense. (Examples include Aveeno/Gold Bond Anti-Itch, Benadryl, Cortaid, calamine lotion, Coritzone, Gold Bond, Lanacane, etc.)
Appearance improvement			See Cosmetic treatment.
Arch support			See Orthopedic shoes and inserts.
Artificial insemination			See Fertility
Artificial limb			Amounts paid for the design and purchase of an artificial limb are qualified medical expenses.
Artificial teeth			See Dental treatment.
Aspirin			The cost of aspirin is a qualified medical expense.
Asthma equipment			When recommended by a health care professional for the treatment of asthma, the cost of asthma equipment (for ex., a nebulizer or peak flow meter) is a qualified medical expense.
Automobile modifications			See Car.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z

Expense

Covered

Not Covered

IRS Guidelines

Babysitting/child and dependent care			The cost of babysitting, child care and nursing services for a healthy child or dependent are not qualified medical expenses. Also see Disabled dependent care.
Bandages			The cost of bandages is a qualified medical expense. (Examples include Ace bandages, Band-Aid, Curad, Johnson & Johnson, Nexcare, etc.)
Behavioral modification program			See Schools, special; and Tuition.
Birth control			The cost of prescription birth control (such as an IUD, diaphragm, pill, Norplant, etc.) is a qualified medical expense.
			Amounts paid for over-the-counter products and devices (such as condoms, spermicide, pregnancy test kit, etc.) are qualified medical expenses.
Birthing classes			See Childbirth classes.
Birthing coach			See Doula.
Bleaching/teeth whitening			See Cosmetic treatment.
Blood donation			A fee associated with blood donation, when the blood is for the subsequent use by the participant, spouse or eligible dependent, is a qualified medical expense.
Blood pressure monitoring device			The cost of a blood pressure monitoring device is a qualified medical expense.
Blood sugar test kits and strips			Amounts paid for a blood sugar testing kit and strips are qualified medical expenses.
Body scan			The cost of a body scan (for ex., an MRI) is a qualified medical expense.
Bonding of the teeth			See Cosmetic treatment.
Braces			See Orthodontia.
Braille books and magazines			For use by visually impaired persons, the cost of Braille books and magazines are qualified medical expenses. Note: The qualified expense includes only the amount above the cost of the product in its standard form.
Breast augmentation			The cost of a breast augmentation (such as an implant or injection) is not a qualified medical expense. Also see Cosmetic treatment.
			Amounts paid for breast augmentation (such as implants and injections) are not qualified medical expenses. Breast augmentation is considered cosmetic in nature.
Breast pump, purchase or rental			When recommended by a health care professional for a medical condition with the mother or the infant (or both), the cost of a breast pump is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement.
Breast reconstruction			Amounts paid for breast reconstruction surgery following a mastectomy for cancer are qualified medical expenses. Also see Mastectomy-related expenses.
Breast reduction			When recommended by a health care professional for a medical condition (to prevent or treat an injury, illness or disease), the cost of breast reduction surgery is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement.
Breast implant removal			If causing a medical problem, the cost to remove a breast implant is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor’s note) with the request for reimbursement.

A B C D E F G H I J K L M N O P Q R S T U V W X Y Z