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

Displaying expenses 226–240 of 320
Eligible expenses. Each row shows whether the expense is eligible and any documentation needed.
Expense Eligible? Documentation Needed
Prescription Eyeglasses/ contact lenses Eligible with detailed receipt
Prescription(Co-insurance, Co-Payment, Deductible) Eligible with detailed receipt
Propecia (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
Prosthesis Eligible with detailed receipt
Protein Bars/shakes/powder (not as meal replacement) Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt Requires prescription from your doctor, plus detailed receipt
Provider discount/coupon Not eligible
Psych / therapy Eligible with detailed receipt
Psychiatric care/therapy Eligible with detailed receipt
Radial keratotomy (RK) Eligible with detailed receipt
Radon Test Kit Eligible with detailed receipt
Reading glasses (over-the-counter) Eligible with detailed receipt
Recliner ($1000 max) Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt Requires prescription from your doctor, plus detailed receipt
Reconstructive surgery (following accident or medical procedure or condition) Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt Requires prescription from your doctor, plus detailed receipt
Rehydration Liquids - Pedialyte - Eligible Eligible with detailed receipt
Rehydration Liquids - Sports drinks - LMN Required Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt Requires prescription from your doctor, plus 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