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 |
|---|---|---|
| Varicose vein removal surgery (for medical care) | Eligible with detailed receipt | |
| Vasectomy | Eligible with detailed receipt | |
| Viagra and similar prescription medications | Eligible with detailed receipt | |
| Vision | Eligible with detailed receipt | |
| Vision - contact lenses solutions | Eligible with detailed receipt | |
| Vision - Prescription Goggles and Masks | Eligible with detailed receipt | |
| Vision (Co-insurance, Co-Payment, Deductible) - Eligible | Eligible with detailed receipt | |
| Vision Contact lenses case | Eligible with detailed receipt | |
| Vision correction treatment/surgery | Eligible with detailed receipt | |
| Vision Eye Patch | Eligible with detailed receipt | |
| Vision: Ortho keratotomy/Orthokeratology | Eligible with detailed receipt | |
| Vision: Eye Glass Repair Kit | Eligible with detailed receipt | |
| Vision: Lens Wipes | Eligible with detailed receipt | |
| Vision: Prescription Eyeglasses/ contact lenses | Eligible with detailed receipt | |
| Vitamins - General Health | Not eligible |
- 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