Various Eligible Expenses
You can use your Health Care FSA (HC FSA) funds to pay for a wide variety of health care products and services for you, your spouse, and your dependents. The IRS determines which expenses can be reimbursed by an FSA.
Keep Your Receipts
Please save your receipts and other supporting documentation related to your HC FSA expenses and claims. The IRS may request itemized receipts to verify the eligibility of your expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
Eligible expenses search and results
| Expense | Eligible? | Documentation Needed |
|---|---|---|
| Illegal operations or substances | Not eligible | |
| Immunizations | Eligible with detailed receipt | |
| Incontinence (adult) Supplies (e.g., depends) | Eligible with detailed receipt | |
| Incontinence (children) Supplies (e.g., diapers) (for treatment of a medical condition) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Infertility treatment (for employee, spouse or dependent) | Eligible with detailed receipt | |
| Insect Repellant | Not eligible | |
| Insulin, testing materials and supplies | Eligible with detailed receipt | |
| Insurance Payment/Adjustment | Not eligible | |
| Insurance Premiums | Not eligible | |
| Invisalign and other clear dental aligners (including self-service mail order) | Eligible with detailed receipt | |
| Lab (medical) | Eligible with detailed receipt | |
| Laboratory fees | Eligible with detailed receipt | |
| Lactation Supplies: creams/ointment, pad/shields, storage bags/bottles | Eligible with detailed receipt | |
| Lactose intolerance supplements (Over the Counter) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Lamaze classes (charges for mother only) | Eligible with detailed receipt |
- Eligible with detailed receipt
- Eligible with additional documentation and a detailed receipt
- Not eligible
- Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt
- Requires prescription from your doctor, plus detailed receipt