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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

Baby Formula

For the cost of baby formula to be an eligible medical expense, a health care professional must provide evidence of medical necessity showing that the qualified employee’s infant requires special dietary requirements, and a specific baby formula is recommended to treat the illness or disorder. 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: Reimbursement is calculated using a cost difference method of subtracting the amount paid for standard baby formula from the cost of the special formula.

Babysitting, Child and Dependent Care

X The cost of babysitting, child care and nursing services for a healthy child or dependent are not eligible medical expenses. Also see Disabled Dependent Care.

Back Brace

X Both Rigid (Hard) and Soft (Elastic) Back Braces are eligible medical expenses.

Baldness Treatment

X A health care professional must provide evidence of medical necessity such as the result of chemotherapy treatment, disease, trauma or injury for the cost of treatment for baldness 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. Also see Cosmetic Treatment.
Bandages, Band-Aids

X

The cost of bandages is an eligible medical expense. Bandages include, but are not limited to: Ace bandages, Band-Aid, Curad, Johnson & Johnson, Nexcare.

Bariatric Surgery

See Gastric Bypass Surgery Including Excess Skin Removal.

Bedside Commode, Toilet

See Durable Medical Equipment (DME).

Behavioral Modification Programs

See Schools, Special.

Bio-Identical Hormone Replacement Therapy

See Hormone Replacement Therapy (HRT).

Birth Control

X

The cost of prescription birth control (such as IUD, diaphragm, pill, Norplant, etc.) is an eligible medical expense. Amounts paid for OTC products and devices (such as condoms, etc.) are eligible medical expenses. 

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 birth control product is an eligible medical expense. OTC products include, but are not limited to: Morning-After Pill or OTC emergency contraceptive which can help prevent a pregnancy after unprotected sex or contraceptive failure, spermicides.

Birthing Classes

See Childbirth Classes, Lamaze.

Birthing Coach

  See Doula

Bleaching or Whitening Teeth

X The cost of bleaching or whitening teeth is generally not an eligible medical expense.

Blepharoplasty

See Cosmetic Treatment.

Blood Donor Fee

A health care professional must provide evidence of medical necessity for the cost of blood donation 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: A fee associated with blood donation, when the blood is for the subsequent use by the participant, spouse or eligible dependent, is an eligible medical expense. 

Blood Pressure Monitor

X

The cost of a blood pressure monitoring device is an eligible medical expense.

Blood Storage

X A health care professional must provide evidence of medical necessity for the cost of blood storage 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: As long as a medical condition is present, the cost to store blood would be an eligible medical expense. Also see Cord Blood.

Blood Sugar Test Kits and Strips

See Diabetic Supplies.

Body Restoration Technique

A health care professional must provide evidence of medical necessity for the cost of body restoration 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.
Body Scan X The cost of a body scan (e.g., an MRI,PET,CAT) is an eligible medical expense.
Boutique, Concierge, Practice Fees X The cost of monthly or annual fees to guarantee that the physician is available when needed and to provide a newsletter and a 24/7 helpline is not an eligible medical expense, since the fee is paid regardless if medical care is needed. May also be called a retention fee.
Bracanalysis Testing X The cost of diagnostic testing for genetic mutations that may include DNA collection is an eligible medical expense.
Braces, Orthodontia See Orthodontia.
Braille Books and Magazines X For use by visually impaired persons, the cost of Braille books and magazines are eligible medical expense. Note: The eligible expense includes only the amount above the cost of the product in its standard form.
Breast Augmentation See Cosmetic Treatment.
Breast Implants or Removal X A health care professional must provide evidence of medical necessity for the cost of breast implants or removal 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. Also see Cosmetic Treatment.
X The cost to replace a cosmetic implant (i.e. reduction or enlargement) is not an eligible medical expense.
Breast Pump Purchase or Rental X The cost to purchase or rent a breast pump is an eligible medical expense.
Breast Reconstruction Surgery X The cost of breast reconstruction surgery following a mastectomy is an eligible medical expense.
Breast Reduction X A health care professional must provide evidence of medical necessity for the cost of breast reduction surgery 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. Also see Cosmetic Treatment.
Breathalyzer X The cost of both in-home and doctor's office alcohol testing are eligible expenses.
Bus Fare See Transportation.

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