Various Eligible Expenses
You can use your Limited Expense Health Care FSA (LEX HCFSA) funds to pay for a variety of dental and vision 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 LEX HCFSA 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 |
|---|---|---|
| Face lifts | Not eligible | |
| Feminine hygiene care (Deodorants, General Cleansing products, Feminine spray) | Not eligible | |
| Fertility treatment (for non-dependent surrogate) | Not eligible | |
| Finance Charges | Not eligible | |
| Funeral expenses | Not eligible | |
| Hair regrowth products | Not eligible | |
| Hair removal | Not eligible | |
| Hair transplant | Not eligible | |
| Hand lotion (over-the-counter) | Not eligible | |
| Household help | Not eligible | |
| Hygiene Products (toothbrush, lotion, soap, etc.) | Not eligible | |
| Illegal operations or substances | Not eligible | |
| Insect Repellant | Not eligible | |
| Insurance Payment/Adjustment | Not eligible | |
| Insurance Premiums | Not eligible |
- Eligible with detailed receipt
- Not eligible
- Requires prescription from your doctor, plus detailed receipt
- Requires Letter of Medical Necessity signed by your doctor, plus detailed receipt