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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.

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 Qualified? IRS Guidelines
Hair removal or transplant Yes When recommended by a health care professional for a medical condition, the cost of hair removal or a hair transplant may be a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
No The cost of hair removal or a hair transplant is not a qualified medical expense. Also see Cosmetic treatment
Headache medicine w/Prescription The cost of headache medication is a qualified medical expense. (Examples include Advil, Aleve, Anacin, aspirin, Doan's, Excedrin, HeadOn, IMAK, Motrin, Tylenol, etc.)

Must be prescribed by a physician in order to be reimbursed, when purchased on or after 1/1/2011.

Health club Yes When recommended by a health care professional for a medical condition, dues paid to a health club, YMCA or YWCA are qualified medical expenses. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement. Note: Reimbursement is only for the individual membership and for the component that is related to the current plan year. Any dues that carry over to a subsequent year must be submitted for that plan year of coverage.
No Health club dues, YMCA/YWCA dues or amounts paid for steam baths for general health or to relieve physical or mental discomfort not related to a medical condition are not qualified medical expenses.
Health institute Yes When recommended by a health care professional for the treatment of a medical condition, amounts paid to a health institute are qualified medical expenses. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
Health Maintenance Organization (HMO) No Insurance premiums paid to an HMO are not FSA-reimbursable expenses. 
Health screenings See Body scan; and Diagnostic services.
Hearing aid Yes Amounts paid for a hearing aid and hearing aid batteries are qualified medical expenses. 
Hemorrhoid treatment w/Prescription The cost of hemorrhoid cream or treatment is a qualified medical expense. (Examples include Fleet, Preparation H, Tronolane, Tucks, etc.)

Must be prescribed by a physician in order to be reimbursed, when purchased on or after 1/1/2011.

Herbs See Dietary supplements; Fiber supplements; and Nutritional supplements.
HMO See Health Maintenance Organization
Holistic or homeopathic professional Yes When recommended by a health care professional for a medical condition, the cost of holistic or homeopathic care is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
Home care See Nursing services.
Home improvements See Capital expenses.
Hormone replacement therapy (HRT) Yes When recommended by a health care professional for a medical condition (such as menopausal symptoms), the cost of hormone replacement therapy is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
No The cost of hormone replacement therapy for general well-being is not a qualified medical expense.
Hospital Services Yes Amounts paid for hospital services are qualified medical expenses.
Yes Amounts paid for ancillary hospital services (such as an upgrade from a semi-private to private room or fees charged for parents to stay with a child) are qualified medical expenses. Also see Lodging/Trips.
Household help No The cost of household help, even if recommended by a health care professional, is not a qualified medical expense.
Yes Certain expenses paid to an attendant for nursing-type services are qualified medical expenses. 
Human guide Yes To assist a physically, visually, hearing or mentally impaired person, the cost of a human guide is a qualified medical expense. Also see Guide dog.
Humidifier See Vaporizer/humidifier.
Hypnosis Yes When recommended by a health care professional for a medical condition, the cost of hypnosis is a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.

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