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.
Currently showing 15 items per page. Activate to choose another option.
| Eligible? | Additional Document | Expense |
|---|---|---|
| Eligible with a detailed receipt | Varicose vein removal surgery (for medical care) | |
| Eligible with a detailed receipt | Vasectomy | |
| Eligible with a detailed receipt | Viagra and similar prescription medications | |
| Eligible with a detailed receipt | Vision | |
| Eligible with a detailed receipt | Vision - contact lenses solutions | |
| Eligible with a detailed receipt | Vision - Prescription Goggles and Masks | |
| Eligible with a detailed receipt | Vision (Co-insurance, Co-Payment, Deductible) - Eligible | |
| Eligible with a detailed receipt | Vision Contact lenses case | |
| Eligible with a detailed receipt | Vision correction treatment/surgery | |
| Eligible with a detailed receipt | Vision Eye Patch | |
| Eligible with a detailed receipt | Vision: Ortho keratotomy/Orthokeratology | |
| Eligible with a detailed receipt | Vision: Eye Glass Repair Kit | |
| Eligible with a detailed receipt | Vision: Lens Wipes | |
| Eligible with a detailed receipt | Vision: Prescription Eyeglasses/ contact lenses | |
| Not eligible | Vitamins - General Health |
Currently showing 15 items per page. Activate to choose another option.
| Symbol | Description | |
|---|---|---|
| = | Eligible with a detailed receipt | |
| = | Not eligible | |
| = | Eligible with appropriate documentation: |
| Symbol | Description | |
|---|---|---|
| = | Requires Prescription from your doctor, plus detailed receipt | |
| = | Requires letter of Medical Necessity signed by your doctor, plus detailed receipt |