Eligible Expenses

Examples of Eligible Expenses (FSA and HSA)

 ►  Deductibles and copayments not paid by your medical and dental insurance, covering you and your eligible dependents                  including:

  • Hospital deductible and copayment
  • Physician visit copayment
  • Prescription drug copayment
  • Durable medical equipment, including diabetic test strips and syringes
  • Dental copayments for restorative care or orthodontia or dental implants

 ►  Transportation expenses primarily for and essential to medical care ( $.17 per mile in 2017, $.18 per mile in 2018)

 ►  Expenses not paid by your medical and dental insurance, covering you and your eligible dependents, such as:

  • Prescription eyeglasses, contact lenses, and laser eye surgery
  • Hearing care, including hearing aids and tests not reimbursed by your medical plan
  • Services and prescription drugs for infertility treatment
  • Uncovered health care services obtained outside of the provider network
  • Mental health copayments and services over medical limits
  • Smoking cessation drugs prescribed by a physician

 ►  Expenses in excess of medical or dental plan limits (e.g., orthodontic expenses greater than the limit set by your dental plan)

 ►  Insulin and diabetic supplies

 ►  Charges for certain other medical services that would qualify as tax deductible medical expenses under IRS rules (Note: not all            expense items listed in IRS Publication 502 are reimbursable expenses under a health care Flexible Spending Account)

 ►  Certain over-the-counter items such as those listed below that are purchased for the treatment of a specific medical condition.        Note: all reimbursable over-the-counter expenses may only be reimbursed in reasonable quantities, such as one- to two-month        supplies. (This list is subject to change due to clarification by the IRS.)

  • Adult incontinence products (e.g., Depends)
  • Breast pump/lactation supplies
  • Contact lens solution/eye drops
  • Contraceptives and birth control products
  • Ear supplies (e.g., ear plugs)
  • First aid supplies
  • Health monitors (e.g., blood pressure, cholesterol, HIV, thermometers)
  • Hearing aid batteries
  • Heat wraps (e.g., ThermaCare)
  • Insulin and diabetic supplies
  • Pregnancy tests
  • Sunscreen (30 SPF or greater)
  • Supports/braces (e.g., ankle, knee, wrist, therapeutic glove)

 ►  Certain over-the-counter items such as those listed below. Over-the-counter medicine or drugs must be submitted with the          required medical provider’s written prescription stating patient’s name, name of medicine/drug, diagnosis or medical condition          warranting the medication, dosage requirements, and signature of medical provider.

  • Acne treatments/medications
  • Allergy and sinus medications (e.g., Benadryl, Claritin, Sudafed)
  • Anti-fungal medications (e.g., Lotramin AF)
  • Anti-itch medications (e.g., Caladryl, Cortizone)
  • Cold sore medications
  • Cough, cold and flu remedies
  • Decongestants
  • Eye drops for medical conditions such as dry eyes
  • First aid creams
  • Gastrointestinal aides (e.g., antacids, anti-diarrhea, laxatives - non-fiber, nausea medications)
  • Hormone therapy
  • Joint treatment (e.g., Glucosamine)
  • Lactose intolerant pills
  • Motion sickness pills
  • Nasal sprays for congestion (e.g., Afrin)
  • Nicotine patches/gum/lozenges
  • Orthopedic inserts/shoes
  • Pain relievers (e.g., aspirin, Excedrin, Tylenol, Advil, Motrin)
  • Sleeping aides
  • St. John’s Wort
  • Suppositories
  • Topical ointments
  • Wart remover medications
  • Weight-loss drugs
  • Weight-loss programs
  • Yeast infection creams (e.g., Monistat)