Eligible Health Care Expenses

The following information is general and may be changed or updated without notice. If there is a difference between this list and your employer's plan documents, your employer's plan documents will govern. Please see your employer's Summary Plan Description for more information about which health care expenses can be reimbursed from your health care FSA.

Effective January 1, 2011 over-the-counter medicines will not be FSA-eligible without a doctor's prescription as a result of Health Care Reform.

Browse our Health Care FSA Expenses Table:

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Health Care FSA Expenses
Expense Type	Eligible	Requires Letter of Medical Necessity (LOMN)	OTC Medicine/Drug Requires an Rx	Ineligible	Description
Abdominoplasty				X	The cost of an abdominoplasty is not an eligible medical expense. This procedure may also be known as a Tummy Tuck. Also see Cosmetic Treatment.
Acne			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC acne medicine is an eligible medical expense. OTC products include, but are not limited to: Acne Free, Acnomel, Bye Bye Blemish, Clean & Clear, Clearasil, Murad Acne Complex Kit, Neutrogena Acne Treatment, OXY, Pro-active Solution, Stri-Dex, SAPZYT Acne Treatment. Also see Medicine, Prescription and Medicine and Drugs, Over-the-Counter (OTC).
	X				If the primary purpose is treatment of acne, acne services are eligible medical expenses.
				X	Cost of routine skin care is not an eligible medical expense.
Acupressure		X			A health care professional must provide evidence of medical necessity for the cost of acupressure to be an eligible medical expense. Include evidence of medical necessity (i.e., a doctor's note or LOMN that specifically identifies that the recommendation and expense is for treatment of the medical condition) with the request for reimbursement.
Acupuncture	X				The cost of acupuncture is an eligible medical expense.
Adaptive Equipment					See Durable Medical Equipment (DME).
Adoption Medical Expenses	X				If the child is a tax-qualified dependent at the time of service, medical expenses paid for a child prior to adoption are eligible medical expenses.
				X	Fees relating to the adoption process and fees for medical expenses incurred prior to beginning adoption negotiations are not eligible medical expenses.
				X	Expenses incurred by the birth mother associated with an adopted baby’s birth are not eligible medical expenses.
Air Conditioner, Air Filter, Air Purifier		X			A health care professional must provide evidence of medical necessity for the cost of a portable or permanent unit to be an eligible medical expense. Include evidence of medical necessity (i.e., a doctor's note or LOMN that specifically identifies that the recommendation and expense is for treatment of the medical condition) with the request for reimbursement. For permanent units, See Capital Expense.
Air Fare					See Transportation.
Air Filter					See Air Conditioner, Air Filter, Air Purifier.
Alcoholism, Drug Addiction Treatment	X				The cost of treatment at a center for alcohol or drug addiction is an eligible medical expense. This includes meals and lodging provided by an inpatient center during treatment. Also see Transportation.
Allergy Medicine			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC allergy medicine is an eligible medical expense. OTC products include, but are not limited to: Benadryl, Claritin, Dimetapp, Zyrtec.
Allergy Treatment Products				X	If the product would be owned even without allergies (such as a pillow or vacuum cleaner), the expense is generally not an eligible expense.
					A health care professional must provide evidence of medical necessity for the cost of allergy treatment products to be an eligible medical expense. Include evidence of medical necessity (i.e., a doctor's note or LOMN that specifically identifies that the recommendation and expense is for treatment of the medical condition) with the request for reimbursement. Note: The reimbursable expense includes only the amount above the cost of the product in its standard form. Also see Air Conditioner, Air Filter, Air Purifier.
Alopecia Treatment		X			A health care professional must provide evidence of medical necessity for the cost of alopecia treatment to be an eligible medical expense. Include evidence of medical necessity (i.e., a doctor's note or LOMN that specifically identifies that the recommendation and expense is for treatment of the medical condition) with the request for reimbursement. Alopecia is a Medical Condition resulting in the loss of hair from the body or head that can lead to baldness.
				X	Normal male pattern baldness treatment is not eligible if the sole purpose is to enhance appearance.
Alternative Medicine, Alternative Healers	X				Treatments provided by non-traditional alternative healer professionals are eligible if treating a specific medical condition.
				X	Alternative treatments, drugs and medicines that are for general health, are not eligible expenses.
Ambulance Service	X				The fee paid for ambulance service is an eligible medical expense.
Analgesics (painkillers), Antipyretics (fever reducers)			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC analgesic is an eligible medical expense. OTC products include, but are not limited to: Advil, Aspirin, Midol, Naprosyn, Pamprin, Premsyn PMS, Tylenol, Aspercreme, BenGay, Icy Hot.
Anesthesiology	X				Anesthesiology fees are eligible medical expenses
Antacids, Acid Reducers			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC antacid is an eligible medical expense. OTC products include, but are not limited to: Alka-Seltzer, Brioschi, Maalox, Milk of Magnesia, Mylanta, Pepto-Bismol, Prilosec.
Antibiotics, topical			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC antibiotic is an eligible medical expense. OTC products include, but are not limited to: Cortaid, Neosporin, Polysporin.
Anti-Diarrhea			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC anti-diarrhea product is an eligible medical expense. OTC products include, but are not limited to:Pepto Bismol, Imodium AD, Kaopectate.
Anti-Embolism Socks, Stockings					See Compression Socks, Stockings.
Anti-Fungal			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC anti-fungal product is an eligible medical expense. OTC products include, but are not limited to: Lamasil AT, Lotramin AF, Micatin
Anti-Gas			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC anti-gas product is an eligible medical expense. OTC products include, but are not limited to: Mylanta, Gelusil, Phazyme, Gas-X.
Antihistamines			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC antihistamine is an eligible medical expense. OTC products include, but are not limited to: Benadryl, Claritin, Contac, Dimetapp, Sudafed, Triaminic.
Anti-Itch			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC anti-itch product is an eligible medical expense. OTC products include, but are not limited to: Aveeno/Gold Bond Anti-Itch, Benadryl, Calamine, Cortaid, Calamine lotion, Cortizone, Gold Bond, Lanacane.
Appearance Improvement					See Cosmetic Treatment.
Arch and Insole Support					See Orthotics.
Arthritis Care			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC arthritis medicine is an eligible medical expense. OTC products include, but are not limited to: Arthritis gloves, Arthritis Hot, Bengay, Capzasin.
Artificial Eye, Limb, Teeth	X				Amount paid for the design and purchase of an artificial limb, eye or teeth is an eligible medical expense. Also see Dental Treatment.
Artificial Insemination					See Fertility Enhancement, Treatment.
Artificial Reproductive Technologies					See Fertility Enhancement, Treatment.
Aspirin			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC aspirin is an eligible medical expense.
Asthma Equipment and Treatment	X				The cost of asthma equipment (e.g., a nebulizer or peak flow meter) is an eligible medical expense.
			X		A health care professional must prescribe OTC drugs and medicines for you to be reimbursed for the expense. With a prescription, the cost of an OTC asthma product is an eligible medical expense. OTC products include, but are not limited to: Bronkaid, Bronkolixir, Primatine.
Autoette (wheelchair)	X				The cost of an autoette is an eligible medical expense.
Automated External Defibrillator (AED)	X				The cost of an automated external defibrillator is an eligible medical expense.
Automobile Modifications					See Car Modifications
Autopsy				X	Fees associated with an autopsy are not eligible medical expenses.

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