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 |
|---|---|---|
| Orthopedic & surgical supports | Eligible with detailed receipt | |
| Orthopedic shoes (Only cost difference between RX orthopedic shoe and non-specialized shoe, plus documentation of cost difference required) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Orthotics/Orthopedic Inserts | Eligible with detailed receipt | |
| Over-the-counter (drugs and medicines) | Eligible with detailed receipt | |
| Over-the-Counter medication (2019 Requires Prescription from your doctor) | Not eligible | |
| Over-the-Counter Product (for treatment of medical condition) | Eligible with detailed receipt | |
| Ovulation monitor (over-the-counter) | Eligible with detailed receipt | |
| Oxygen | Eligible with detailed receipt | |
| Pain reliever (over-the-counter) | Eligible with detailed receipt | |
| Payment Processing Fees | Eligible with detailed receipt | |
| Phototherapy - Light Therapy (for treatment of medical condition) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Physical exams | Eligible with detailed receipt | |
| Physical therapy | Eligible with detailed receipt | |
| Physician retainer fee (for on-call or concierge services) | Not eligible | |
| Pregnancy tests (over-the-counter) | 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