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 |
|---|---|---|
| Removal of benign mole, cyst or tumor | Eligible with detailed receipt | |
| Retin-A (for non-cosmetic purposes) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt |
| Rx (prescription) | Eligible with detailed receipt | |
| Sales tax, shipping and handling fees (for any eligible expense) | Eligible with detailed receipt | |
| Service Animals (for blindness or vision impairment) (with Certificate of Registration) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Service Animals (services not related to blindness or vision impairment) (with Certificate of Registration) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Service Animals (with Certificate of Registration) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Service Animals (without Certificate of Registration) | Not eligible | |
| Smart Watch (Max 125.00) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Smoking cessation (programs / counseling) | Eligible with detailed receipt | |
| Smoking cessation drugs (prescription) | Eligible with detailed receipt | |
| Smoking cessation gum or patches (over-the-counter) | Eligible with detailed receipt | |
| Special school (for mental and physical disabilities) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Special/Durable Medical Equipment(rental or purchase) | Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt | Requires prescription from your doctor, plus detailed receipt |
| Speech therapy | 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