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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
Pain reliever  

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 pain relievers is an eligible medical expense.  OTC products include, but are not limited to: Advil, Aleve, aspirin, BenGay, Capzasin, Castiva, Motrin, Tylenol, Zostrix.
Parking Fee   See Transportation.

Particulate Respirator Mask

X The cost of a surgical mask is an eligible medical expense.

Pastoral Counseling

  See Counseling.

Paternity Testing

X The cost of a DNA test to determine paternity is not an eligible medical expense.

Patterning Exercises

X Cost to hire an individual to perform Patterning exercises are qualified medical expenses.

Peak Flow Meter

See Ashma Equipment and Treatment
Pediculicide/ Lice Treatment   See Lice Treatment and Removal.

Pedometer

X A health care professional must provide evidence of medical necessity for the cost of a pedometer 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 to include Accelerometers.

Penile Implants

  See Sexual Dysfunction.

Personal Items

X Products used for personal grooming and hygiene are not eligible medical expenses.

Personal Trainer Fees

X A health care professional must provide evidence of medical necessity for the cost of a personal trainer 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.
Fees paid to a personal trainer for improvement of general health, even when recommended by a health care professional, are not eligible medical expenses.

PET Scan

X Cost for a PET scan which is a nuclear medicine imaging technique is an eligible medical expense.

Petroleum Jelly

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 petroleum jelly product is an eligible medical expense.  Petroleum jelly protects minor cuts, burns, skin protectant, heals skin.

Phone Consultation with Doctor

See Medical Services.

Phototherapy

A health care professional must provide evidence of medical necessity for the cost of phototherapy 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.

Physical Exam

X The cost of a physical exam is an eligible medical expense.  Note: Work-related physical exams are eligible UNLESS the examination is paid by the employer.

Physical Exam for Caregiver

The cost of a physical exam for a potential caregiver is not an eligible medical expense.

Physical Therapy

X

The cost of physical therapy is an eligible medical expense.

Physician Fees, Pre-Paid

Also see Boutique, Concierge and Practice Fees.
Pill Cutters, Pill Box, Pill Sorters and Pill Organizers

X

  The cost of a pill cutter or accessories is an eligible medical expense.

Pillows for Lumbar and Cervical Support

X A health care professional must provide evidence of medical necessity for the cost of pillows for lumbar and cervical support 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.

Post-Mastectomy Clothing

See Mastectomy-Related Expenses.

Pre-Existing Condition

X

Medical costs not covered by the medical plan due to the plan's limitation on pre-existing conditions is an eligible medical expense.

Pregnancy and Delivery Charges

See Obstetrical Care.

Pregnancy Charges Paid Monthly per Contract

X

Considered eligible when baby is born and after insurance pays.  Also see Obstetrical Care.

Pregnancy Items

  See Maternity Aids.
Pregnancy Termination X The cost of a legal abortion is an eligible medical expense.
Pregnancy Tests See Birth Control.
Premiums See Insurance Premiums.
Prematal Vitamin See Vitamin.
Pre-Paid Payments X A prepayment for medical care is not reimbursable until you have received the care. Internal Revenue Service (IRS) guidelines require services to be incurred before expenses can be reimbursed.
Prescription Drugs, Medicines See Medicine, Prescription and Medicine and Drugs from Other Countries.
Prescription Drug Discount Program X The costs to have access to reduced cost prescriptions are not eligible medical expenses.  These are viewed as a type of insurance.  Also see Insurance Premiums.
Preventative Care Screening X The cost of preventive care screenings is an eligible medical expense.  Preventive care includes but is not limited to: blood pressure, glaucoma, cataracts, hearing, cholesterol, life line screenings.

Preventive Care Services

X The cost of preventive care is an eligible medical expense. Preventive care includes but is not limited to: Periodic health evaluations, including tests and diagnostic procedures in connection with routine examinations (e.g., annual physicals), routine prenatal and well-child care, child and adult immunizations, certain screening services.
Private Hospital Room X The extra cost for a private hospital room is an eligible medical expense.
Probiotics See Supplement.
Progesterone, Testosterone Hormones X Cost is an eligible medical expense unless it is for cosmetic reasons.  Also see Vitamin; Supplement; Hormone Replacement.
X A health care professional must provide evidence of medical necessity for the cost of progesterone and testosterone 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 If used for cosmetic purposes or body building, the cost is not an eligible medical expense.
Propecia X A health care professional must provide evidence of medical necessity for the cost of propecia 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

If used for cosmetic purposes, propecia is not an eligible medical expense.

Prosthesis See Artificial Eye, Limb, Teeth
Psychiatric Services and Care

X

The cost of psychiatric care, including care in a specially equipped center for receiving medical care, is an eligible medical expense.
Psychoanalysis X Fees paid for Psychoanalysis are eligible medical expenses.
Psychologist X Fees paid for Psychologist are eligible medical expenses.
Psychotherapist X Fees paid for Psychotherapy are eligible medical expenses.
Pulse Oximeter X

The cost of a pulse oximeter which checks oxygen levels and pulse rates is an eligible medical expense.

Purifier See Air Conditioner, Air Filter, Air Purifier.

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