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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)

Medicine/ Drug Requiers an Rx

Ineligible Description
Face lift    See Cosmetic Treatment.

Feminine Hygiene Products

X

The cost of feminine hygiene products (e.g., sanitary napkins, tampons, etc.) are not eligible medical expenses.

Fertility Enhancement and Treatments  X When associated with an active attempt to conceive, amounts paid for egg and sperm donation, treatment of infertility, and semen and embryo storage (including shots, in-vitro fertilization, GIFT, and artificial insemination) are eligible medical expenses, when recommended by a healthcare professional as long as the member, spouse or a qualified dependent incurs these expenses due to an underlying medical condition.  A health care professional must provide 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 Egg and Sperm Donor Fees, Sperm Storage and Egg and Embryo Storage Fees.

X

  The cost of an ovulation kit is an eligible medical expense
X Fees paid for preserving semen or embryos for future generations (including for genetic information) are not eligible medical expenses.
X Surrogate or gestational carrier expenses are generally not eligible expenses for the participant.
Fever Reducing Medication  

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 fever reducing medicine is an eligible medical expense.  OTC products include, but are not limited to: Aspirin, FeverAll, Ibuprofen, Motrin, Tylenol, etc.).

Fiber Supplement

See Supplement and Vitamin.

Finance Charges

X Fees that are finance charges for unpaid medical expenses are not eligible medical expenses.

First Aid Drugs and Medicines

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 first aid medicines is an eligible medical expense.  OTC products include, but are not limited to: Anti-Bacterial Sprays, Antiseptics, Peroxide, Rubbing Alcohol, Witch Hazel.
First Aid Kit X The cost of a first aid kit is an eligible medical expense.

First Aid Supplies

X

The cost first aid supplies are eligible medical expenses.  First aid supplies include, but are not limited to: bandages, wraps, adhesives, cold or hot packs, gauze, joint supporters, splints, tape, thermometer.

Fitness Program

See Exercise equipment and exercise program

Flavoring Added to Medication

X The cost of adding flavoring to medication is an eligible medical expense.

Flu Shot

X

  The cost of a flu shot is an eligible medical expense.  Also see Immunizations.
Fluoride Device and Treatment (In home or Office) X A health care professional must provide evidence of medical necessity for the cost of home water fluoride treatment, including installation and rental charges 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.
Fluoride Rinse, Pills and Toothpaste See Dental Treatment.
Food X The cost of food, including diet food or meal replacements such as shakes for weight loss programs, is not an eligible medical expense to the extent it is for ordinary nutritional value.   Therefore the cost of food associated with weight-loss programs, such as pre-packed meals and diet food, is not eligible since the food is a substitute for regular food and meets normal nutritional needs.  Also see Special Food.
Foot Care X The cost of non-medicated foot care products is an eligible medical expense.  Non-medicated foot care include, but are not limited to: callous removers, bunion treatments, non-medicated blister care products.  Also see Orthotics.
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 foot care product is an eligible medical expense.  OTC products include, but are not limited to: medicated blister care, medicated callous removers, corn & callous treatments.
Forms Completion

X

Charges incurred for provider completion of forms is not an eligible medical expense, including but not limited ot the following examples: disability form, FMLA form, sports participation form, summer camp form.

Founder’s Fees See Lifetime Care Advance Payment.
Fuel, Gasoline for Medical Care See Transportation
Funeral Expenses X The cost of a funeral is not an eligible medical expense.

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