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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 Type

Eligible

Requires Letter of Medical Necessity (LOMN)

Medicine/ Drug Requires an Rx

Ineligible Description
Nasal Spray, Nasal Solutions  

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 nasal spray or solution is an eligible medical expense.  OTC products include, but are not limited to: 4-Way, Afrin, Ayr, ENTSOL, Nasal Crom, Neo-Synephrine, Nostrilla, Simply Saline, Vicks, etc.
Nasal strips

X

The cost of Nasal Strips to alleviate snoring or reduce nasal congestion is a qualified medical expense.  OTC products include, but are no limited to: Breathe Clear, Breathe Right, nose cones, Snorezz.

NSAIDS

See Pain Relievers.

Natural Lens Replacement

X

The cost of this FDA approved procedure where the patient’s lens is removed and replaced with a clear plastic lens that allows him or her to focus more accurately is an eligible medical expense.  Also see Crystalens.

Naturopathic Care, Naturopathic Healers

See Alternative Medicine, Healers.

Nebulizer

See Asthma Equipment and Treatment.

Neti Pot

X The cost of a Neti Pot used for sinus and allergy relief is an eligible medical expense.

Neurologist

X The cost of neurological care is an eligible medical expense.

Newborn Nursing Care

X Cost for nursing care services of a healthy infant are not an eligible medical expense.

Nicotine Gum and Patches

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 nicotine gum and patch is an eligible medical expense.  OTC products include, but are not limited to: nicotine gum and patches.  Also see Smoking Cessation Medications.

Non-Prescription Drugs, Medicines

See Medicine, Over-the-Counter (OTC).
Norplant Insertion or removal   See Birth Control.

Nursing Home

See Convalescent Home
Nursing Services Provided at Home

X

    Wages and other amounts paid for nursing services associated with caring for the participant, spouse or tax-qualified dependent’s medical condition (dispensing medications, changing dressings, attention and care to wounds, monitor vital signs, record and document assessment results, bathing and grooming the patient, etc.) are eligible medical expenses.  Note: Only amounts paid for nursing services are eligible medical expenses. If the attendant also provides personal and household services, these amounts must be divided between the time spent performing household/ personal services and the time spent for nursing services.
Nursing Supplies See Breast Feeding Supplies.
Nutritional Supplement See Supplement and Vitamin.
Nutritionist X A health care professional must provide evidence of medical necessity for the cost of a nutritionist 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.
X Amounts paid to a nutritionist for general well-being, even when recommended by a health care professional, are not eligible medical expenses.

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