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The following is a list of items that are regularly claimed for reimbursement through a Health Care FSA, along with whether or not the item is eligible.

Expense Type Eligible Additional Information
Acne treatments (over-the-counter) Yes Requires a prescription
Acupuncture Yes
Adoption (medical expenses related to) Yes
Adoption fees No
Alcoholism treatment Yes Includes all inpatient care costs.
Allergy and sinus medicine and products (over-the-counter) Yes Requires a prescription
Allergy treatments and products Yes Requires a letter of medical necessity
Alternative dietary supplements (for treatment of a medical condition) Yes
Alternative drugs, medicines and treatment products (for treatment of a medical condition) Yes Requires a letter of medical necessity
Alternative healers (for treatment of a medical condition) Yes Requires a letter of medical necessity
Ambulance and emergency health services Yes
Antacid (over-the-counter) Yes Requires a prescription
Antibiotic ointment (over-the-counter) Yes Requires a prescription
Aspirin or other pain reliever (over-the-counter) Yes Requires a prescription
Asthma medicines or treatments (over-the-counter) Yes Requires a prescription
Athletic treatments / braces Yes
Bandages and related items (over-the-counter) Yes
Birth control (over-the-counter) Yes
Birth control (prescription or other) Yes Requires a prescription
Blood pressure monitor Yes
Body scans Yes
Braille books and magazines (difference in cost only) Yes
Breastfeeding classes Yes
Breast pump (for a lactating woman) Yes
Breast reconstruction surgery (following mastectomy) Yes
COBRA premiums No
Canker and cold sore treatments (over-the-counter) Yes
Car modifications (as required for a medical condition diagnosed by a licensed health care professional) Yes Requires a letter of medical necessity
Chest rubs (over-the-counter) Yes Requires a prescription
Child or newborn care instruction No
Childbirth classes (charges for mother only) Yes
Chiropractic office visit or treatment Yes
Christian Science practitioners Yes
Cholesterol test kits and supplies Yes
Co-insurance (medical, vision & dental) Yes
Co-pay (medical, vision & dental) Yes
Cold and flu medicine (over-the-counter) Yes Requires a prescription
Cold cream (over-the-counter) Yes Requires a prescription
Compression or anti-embolism socks, stockings or hose Yes Requires a letter of medical necessity
Concierge medical fees (billed for actual services received) Yes
Concierge medical fees (billed for future availability of services, with no services actually received) No
Condoms Yes
Contraceptives (prescription) Yes
Contraceptives (over-the-counter) Yes Requires a prescription
Cord blood storage (for future treatment of a birth defect or known medical condition) Yes
Cord blood storage (for unidentified future use) Yes Requires a letter of medical necessity
Corn and callus remover (over-the-counter) Yes Requires a prescription
Corneal keratotomy Yes Requires a letter of medical necessity
Cosmetic procedures or surgery No
Cosmetic procedures or surgery for birth defects, accidents, and/or disease Yes Requires a letter of medical necessity
Cough syrup (over-the-counter) Yes Requires a prescription
Counseling (for treatment of a medical condition) Yes
Counseling (marriage) No
CPR classes (adult or child) Yes
Crutches, canes, walkers or like equipment (purchase or rental) Yes
Dancing lessons (for treatment of a medical condition) Yes Requires a letter of medical necessity
Deductible for medical, vision or dental plan Yes
Dental care (for non-cosmetic purposes, including sealants) Yes
Dental co-insurance Yes
Dental co-payment Yes
Dental products for general health No
Dental reconstruction (including implants) Yes
Dental veneers Yes Requires a letter of medical necessity
Dentures, bridges, etc. Yes
Dermatology treatments and products Yes Requires a letter of medical necessity
Diabetic monitors, test kits, strips and supplies Yes
Diagnostic services Yes
Diapers and diaper services Yes Requires a prescription
Dietary supplements (for treatment of a medical condition) Yes Requires a letter of medical necessity
Doula or birthing coach Yes Requires a letter of medical necessity
Drug addiction treatment Yes
Drugs (imported) No
Drugs (prescription) Yes
Dyslexia treatment Yes Requires a letter of medical necessity
Ear drops and wax removal (over-the-counter) Yes Requires a prescription
Electrolysis No
Exercise equipment or program (as treatment for a medical condition diagnosed by a licensed health care professional) Yes Requires a letter of medical necessity
Eye drops and treatments (over-the-counter) Yes Requires a prescription
Eye examinations Yes
Eye related equipment/materials Yes
Eye surgery or treatment to correct vision Yes
Eyeglasses (over-the-counter) Yes
Eyeglasses (prescription) Yes
Face lifts No
Feminine hygiene products No
Fertility monitor (over-the-counter) Yes
Fertility treatment (for employee, spouse or dependent) Yes
Fertility treatment (for non-dependent surrogate) No
First aid kits (over-the-counter) Yes
Fitness programs (as treatment for a medical condition diagnosed by a licensed health care professional) Yes Requires a letter of medical necessity
Flu shots Yes
Gastrointestinal medication (over-the-counter) Yes Requires a prescription
Guide dog (dog, training, care) Yes
Hair regrowth products No
Hair removal No
Hair transplant No
Hair treatments No
Hand lotion (over-the-counter) No
Health insurance / plan premiums (paid with after-tax dollars only) No
Hearing aids and batteries Yes
Herbal or homeopathic medicines (over-the-counter) Yes Requires a letter of medical necessity
Home improvements (as required for a medical condition diagnosed by a licensed health care professional) Yes Requires a letter of medical necessity
Hospital services and fees Yes
Household help Yes
Humidifier, air filter and supplies Yes Requires a letter of medical necessity
Immunizations Yes
Incontinence supplies Yes
Infertility treatment (for employee, spouse or dependent) Yes
Insulin, testing materials and supplies Yes
Laboratory fees Yes
Lactose intolerance (over-the-counter) Yes Requires a prescription
Lamaze classes (charges for mother only) Yes
Laser eye surgery Yes
Lasik Yes
Late payment fees charged by health care provider No
Laxatives (over-the-counter) Yes Requires a prescription
Learning disability treatments Yes
Lice treatment (over-the-counter) Yes Requires a prescription
Listening therapy Yes
Lodging (limited to $50 per night for patient to receive medical care and $50 per night for one caregiver) Yes Requires a letter of medical necessity
Long-term care premiums (up to IRS tax-free limit, see IRS Publication 502) Yes
Long-term care services No
Long-term disability insurance premiums No
Magnetic therapy (over-the-counter) Yes Requires a prescription
Massage therapy (for treatment of a medical condition) Yes Requires a letter of medical necessity
Mastectomy-related special bras Yes
Maternity clothes No
Medical abortion Yes
Medical equipment (for treatment of medical condition) and repairs Yes
Medical literature, books, pamphlets or audio No
Medical monitoring and testing devices Yes
Medical records charges Yes
Medical supplies (for treatment of a medical condition) Yes
Medicines (prescription) Yes
Midwife Yes
Mileage (for travel to / from anything other than eligible care) No
Mileage (for travel to / from eligible medical care) Yes
Modified equipment (difference in cost only) Yes Requires a letter of medical necessity
Monitors and test kits (over-the-counter) Yes
Motion and nausea Yes Requires a prescription
Nasal sprays Yes Requires a prescription
Nasal strips (over-the-counter) Yes Requires a prescription
No show fees charged by health care provider No
Non-prescription drugs and medicines (for non-cosmetic purposes) Yes Requires a prescription
Norplant insertion or removal Yes
Nursing services (wages and taxes) Yes
Nutritional supplements (for treatment of a medical condition) Yes Requires a letter of medical necessity
OB/GYN fees Yes
Occlusal guards to prevent teeth grinding Yes
Occupational therapy (related to a medical condition or disability) Yes
Office visits Yes
Operations (for non-cosmetic purposes) Yes
Optometrist / ophthalmologist fees Yes
Organ transplants (recipient and donor) Yes
Orthotics Yes
Ortho keratotomy Yes
Orthodontia (braces and retainers) Yes
Orthopedic and surgical supports Yes
Orthopedic shoes and inserts (difference in cost only of specialized orthopedic shoe over like non-specialized shoe) Yes Requires a letter of medical necessity
Over-the-counter acne treatments Yes Requires a prescription
Over-the-counter allergy and sinus medicine Yes Requires a prescription
Over-the-counter antacid Yes Requires a prescription
Over-the-counter antibiotic ointment Yes Requires a prescription
Over-the-counter aspirin or other pain reliever Yes Requires a prescription
Over-the-counter asthma medicines or treatments Yes Requires a prescription
Over-the-counter bandages and related items Yes
Over-the-counter canker and cold sore treatments Yes Requires a prescription
Over-the-counter chest rubs Yes Requires a prescription
Over-the-counter cold and flu medicine Yes Requires a prescription
Over-the-counter cold and flu prevention Yes Requires a prescription
Over-the-counter cold cream No Requires a prescription
Over-the-counter cough drops and sore throat lozenges Yes Requires a prescription
Over-the-counter cough syrup Yes Requires a prescription
Over-the-counter health care products (eligible) Yes Requires a prescription
Over-the-counter health care products (not eligible) No
Over-the-counter medication (including for motion sickness, sleep aids and sedatives) Yes Requires a prescription
Over-the-counter products for dental, oral and teething pain Yes
Over-the-counter products for general dental care No
Over-the-counter vision products Yes Requires a prescription
Ovulation monitor (over-the-counter) Yes
Oxygen Yes
Pain reliever (over-the-counter) Yes Requires a prescription
Parental fees (billed for actual services received; for disabled children) Yes
Parental fees (billed for future availability of services, with no services actually received; for disabled children) No
Personal use items (toothbrush, toothpaste, etc.) No
Physical exams Yes
Physical therapy Yes
Physician retainer fee (for on-call or concierge services) No
Pregnancy tests (over-the-counter) Yes
Prescription drugs (for non-cosmetic purposes) Yes
Prescription drugs for cosmetic purposes No
Prescription drugs for hair regrowth No
Propecia (for treatment of a medical condition) Yes Requires a prescription
Prosthesis Yes
Psychiatric care Yes
Psychoanalysis Yes
Psychologist fees Yes
Radial keratotomy (RK) Yes
Reading glasses (over-the-counter) Yes
Reconstructive surgery (following accident or medical procedure or condition) Yes Requires a letter of medical necessity
Removal of benign mole, cyst or tumor Yes
Retainer fee (to physician for on-call or concierge services) No
Retin-A (for non-cosmetic purposes) Yes Requires a prescription
Rogaine or other hair regrowth medications (even if prescribed) No
Sales tax, shipping and handling fees (for any eligible expense) Yes
Smoking cessation (programs / counseling) Yes
Smoking cessation drugs (prescription) Yes
Smoking cessation gum or patches (over-the-counter) Yes Requires a prescription
Special equipment Yes Requires a letter of medical necessity
Special foods (gluten-free, salt-free or other for treatment of a medical condition; difference in cost only) Yes Requires a letter of medical necessity
Special school (for mental and physical disabilities) Yes Requires a letter of medical necessity
Speech therapy Yes
Spermicidals Yes Requires a prescription
Sterilization Yes
Sunglasses (over-the-counter) No
Sunglasses (prescription) Yes
Sunscreen with SPF less than 15 No
Sunscreen with SPF 15+ and “broad spectrum”, sunburn creams and ointments (over-the-counter) Yes
Supplies (for treatment of a medical condition) Yes
Surgery (for non-cosmetic purposes) Yes
Swimming lessons (for treatment of a medical condition) Yes Requires a letter of medical necessity
Teeth bleaching or whitening No
Therapy (for treatment of a medical condition) Yes
Toothpaste, toothbrush, floss, etc. No
Transgender treatments/surgery Yes Requires a letter of medical necessity
Transportation, parking and related travel expenses (essential to receive eligible care) Yes
Tubal ligation Yes
Tuition or educational classes No
UV protection clothing No
Varicose vein removal surgery (for medical care) Yes
Vasectomy Yes
Viagra and similar prescription medications Yes
Vitamins (over-the-counter, for general health purposes) No
Vitamins (prescription) Yes Requires a letter of medical necessity
Viagra and similar prescription medications Yes
Walking aids (canes, walkers, crutches and related supplies) Yes
Warranties or other charges for future anticipated services (with none actually received) No
Wart removal treatments (over-the-counter) Yes Requires a prescription
Warranties or other charges for future anticipated services (with none actually received) No
Wart removal treatments (over-the-counter) Yes
Weight loss counseling Yes Requires a letter of medical necessity
Weight loss foods Yes Requires a prescription
Weight loss program Yes
Wound care (over-the-counter) Yes
X-ray fees Yes