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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 you health care FSA.

Browse our Health Care FSA Expenses Table:

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Health Care FSA Expenses
Expense Covered Not Covered IRS Guidelines
Dance lessons    See Lessons.
Decongestant X The cost of a decongestant is a qualified medical expense. (Examples include Contac-D, Dimetapp, Sudafed, Triaminic, etc.)
Deductibles X Medical care deductibles are qualified medical expenses.
Dehumidifier X The cost of a dehumidifier is not a qualified medical expense.
Dental, cosmetic X The cost of cosmetic dental treatment is not a qualified medical expense. Also see Bleaching/teeth whitening; and Bonding of the teeth.

 

Dental treatment X Amounts paid for dental treatment (X-rays, fillings, extractions, dentures, caps, crowns, fluoride treatments, implants, etc.) and orthodontia (including braces) are qualified medical expenses. Additionally, when prescribed by a dentist or orthodontist, the installation and monthly rental charges for home water fluoride treatments are qualified medical expenses. Also see Dental, cosmetic; Orthodontia; and  Toothbrush.
Dentures See Dental treatment.
Denturist X Amounts paid to a denturist for the treatment of a dental condition are qualified medical expenses. (A denturist is a dental technician specializing in making and fitting dentures as a direct service to the public rather than through a licensed dentist.) 
Dependent care See Babysitting/child and dependent care; and Disabled dependent care
Dermatology X Amounts paid to a dermatologist for a medical condition (such as acne or psoriasis) are qualified medical expenses.
X Amounts paid to a dermatologist for cosmetic services (such as botox injections to eliminate wrinkles) are not qualified medical expenses.
Diabetic equipment and supplies X Amounts paid for diabetic equipment and supplies are qualified medical expenses. These include, but are not limited to:
  • Glucose monitor
  • Urine/blood test strips
  • Insulin
  • Syringes
  • Alcohol swabs

 

Diagnostic services X Amounts paid for diagnostic services are qualified medical expenses. Also see Body scan.
Diapers, diaper service X For individuals with impairments or disabilities beyond infancy, or when recommended by a physician to relieve the effects of a medical condition, the cost of diapers is a qualified medical expense.
X Amounts paid for diapers and diaper services for an infant are not qualified medical expenses.
Diarrhea medicine X The cost of diarrhea medicine is a qualified medical expense.  (Examples include Imodium, Kaopectate, Pepto-Bismal, Senna Prompt, etc.)
Diet foods See Meals
Dietary supplements X When recommended by a health care professional for a medical condition (such as a specific vitamin deficiency), amounts paid for dietary supplements are qualified medical expenses. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement. Also see Nutritional supplements.
X When taken for general good health, even when recommended by a healthcare professional, amounts paid for dietary supplements are not qualified medical expenses.
Dietician X When recommended by a health care professional for a medical condition, amounts paid to a dietitian are qualified medical expenses. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
Disabled dependent care X When for the medical care of a disabled dependent, the cost of disabled dependent care may be a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
Disabled person See Braille books and magazines; Disabled dependent care; Guide dog; Human guide; and Schools, special.
DNA collection and storage See Genetic testing; and Paternity testing.
Doula X Amounts paid for a birthing assistant/coach for a woman during labor and after childbirth are not qualified medical expenses.
Drug addiction See Alcoholism, drug addiction; and Drug overdose, treatment of.
Drug overdose, treatment of X The cost of  treatment for a drug overdose is a qualified medical expense. 
Drugs See Medicine and drugs from other countries; Medicine, over-the-counter (OTC); and Medicine, prescription
Durable medical equipment (DME) X The cost to purchase or rent durable medical equipment is a qualified medical expense. DME includes but is not limited to:
  • Bed wetting alarm
  • Blood pressure kit
  • Crutches
  • Hearing aid
  • Medical alert equipment
Dyslexia See Schools, special; and Tutoring

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