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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
Pain reliever w/Prescription The cost of a pain reliever is a qualified medical expense. (Examples include Advil, Aleve, aspirin, BenGay, Capzasin, Castiva, Motrin, Tylenol, Zostrix, etc.)

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

Parking   See Transportation.
Pastoral counseling See Counseling.

 

Paternity test No The cost of a DNA test to determine paternity is not a qualified medical expense.
Patterning exercises Yes Amounts paid for patterning exercises for a child with mental retardation are qualified medical expenses.
Peak flow meter See Asthma equipment.

 

Personal trainer Yes When recommended by a health care professional for a medical condition, fees paid to a personal trainer are qualified medical expenses. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
No Fees paid to a personal trainer for improvement of general health, even when recommended by a health care professional, are not qualified medical expenses. 
Physical exam Yes The cost of a physical exam is a qualified medical expense. 
Physical exam for caregiver No The cost of a physical exam for a potential caregiver is not a qualified medical expense for the FSA participant. 
Physical therapy Yes The cost of physical therapy is a qualified medical expense.
Preexisting condition Yes Medical costs not covered by the medical plan due to the plan's limitation on preexisting conditions are qualified medical expenses. 
Pregnancy termination Yes The cost of a legal abortion is a qualified medical expense. 
Pregnancy test kit See Birth control; and Fertility

 

Premiums See Insurance premiums.

 

Prenatal vitamins See Medicine, prescription; Medicine, over-the-counter (OTC); and Preventive care. 
Prepayment of medical care No A prepayment for medical care is not reimbursable. Internal Revenue Service (IRS) guidelines for FSAs require services to be incurred before expenses can be reimbursed. 
Prescription drugs See Medicine, prescription; and Medicine and drugs from other countries
Preventive care Yes The cost of preventive care if not covered by your medical benefit is a qualified medical expense. Preventive care includes but is not limited to:
  • Periodic health evaluations, including tests and diagnostic procedures in connection with routine examinations (for ex., an annual physical)
  • Routine prenatal and well-child care 
  • Child and adult immunizations 
  • Smoking cessation programs* 
  • Weight-loss program for a diagnosed condition, including obesity*
  • Certain screening services 
  • Preventive prescription and OTC drugs and medicines 

* Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.

Private hospital room Yes The extra cost for a private hospital room is a qualified medical expense. 
Propecia Yes When used to treat a deformity arising from a congenital abnormality, injury or disfiguring disease, the cost of propecia may be a qualified medical expense. Submit evidence of medical necessity (e.g., prescription, doctor's note) with the request for reimbursement.
No When used for cosmetic purposes (for ex., to treat male pattern baldness), the cost of propecia is not a qualified medical expense. 
Prosthesis See Artificial limb.

 

Psychiatric care Yes The cost of psychiatric care, including care in a specially equipped center for receiving medical care, is a qualified medical expense.
Psychoanalysis Yes Fees paid for Psychoanalysis are a qualified medical expense.
Psychologist Yes Fees paid for Psychologist are a qualified medical expense.

 

Psychotherapist Yes Fees paid for Psychotherapy are a qualified medical expense.
Purifier See Air conditioner, air filter, purifier.  

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