Eligible FSA Expenses

Here’s a handy list of expenses that can and cannot be reimbursed under your Health Flexible Spending Account:

Examples of Medical or Medical-Related Expenses
That Can Be Paid With Pre-Tax Dollars

  • Acupuncture services to treat a medical condition
  • Adoption – medical costs of adopted child
  • Air Conditioner – to treat a medical condition
  • Air Purifier – yes, if prescribed by a doctor
  • Alcoholism – inpatient treatment
  • Ambulance
  • Artificial limbs
  • Automobile modifications for physically handicapped
  • Birth control
  • Blood pressure monitoring devices
  • Blind persons – Braille books & magazines, excess cost of regular additions–seeing eye dog
  • Car
    • equipped to accommdodate wheelchair passengers
    • handicap controls
  • Chiropractors
  • Contact lenses and solution
  • Christian Science Practitioners—–for medial care
  • Co-insurance and deductibles
  • Contact lenses – replacement insurance
  • Cosmetic surgery – necessary to ameliorate a deformity arising from a congenital abnormality, personal injury or disfiguring disease
  • Crutches
  • Dental treatment
  • Dentures (artificial teeth)
  • Diagnostic services
  • Doctor fees
  • Ear plugs – to the extent prescribed by a doctor
  • Dyslexia, language training
  • Elastic hose, medically prescribed
  • Elevator, alleviation of cardiac condition
  • Eye examination and glasses
  • Fertility Treatments
  • Flu Shots
  • Guide dog or other animal aid
  • Hearing devices
  • Hospital services
  • Immunizations
  • Insulin and diabetic supplies
  • Language training for child with dyslexia/disabled child
  • Lasik eye surgery
  • Medical conference admission and transportation to/from
  • Medical monitoring devices
  • Medical records charges–transfer of records
  • Nursing services
  • Nursing services (including board and social security tax if paid by taxpayer)
  • Obstetrical expense
  • Occlusal guards to prevent teeth grinding
  • Operations (legal)
  • Optometrists
  • Orthopedic shoes, excess cost
  • Osteopaths
  • Oxygen equipment, breathing difficulty
  • Patterning exercises
  • Physical exams
  • Physical therapy
  • Plumbing, special fixtures for handicapped
  • Precsriptions (Rx’s)
  • Prosthesis
  • Psychiatric care
  • Psychologists – medical care
  • Psychotherapists
  • Radial keratotomy
  • Reading glasses
  • Sexual dysfunction, treatment for
  • Sleep deprivation testing and treatment
  • Smoking cessation program
  • Sunglasses – prescription
  • Student health fee – medical services
  • Teeth, artificial
  • Telephone
    • specially equipped for deaf person
    • modified for person in an iron lung
  • Television, modifications to receive closed captions
  • Transplant, donor’s cost of
  • Transportation, cost incurred essentially and primarily for medical care
  • Vaccines
  • Vasectomy
  • Viagra
  • Wheel Chair
  • X-rays

While the list of eligible expenses is broad, unfortunately, the law does not allow reimbursement for some expenses. In general, medical care expenses must be primarily for a medical purpose. The law does not allow medical care reimbursement for types of expenses that are generally understood to be personal, living, or family expenses. In addition, unreasonably expensive methods of achieving medical results art not.

Medical Supplies (no prescription needed)

  • Adult incontinence products
  • Birth control products
  • Contact lens solution
  • Denture adhesives
  • Ear supplies (e.g. ear plugs)
  • First aid supplies (including band aids)
  • Health monitors (blood pressure monitors, etc.)
  • Hearing aid batteries
  • Heat wraps, heating pads, hot water bottles
  • Insulin and Diabetic supplies
  • Medicine dropper/spoon
  • Motion sickness devices
  • Supports and braces

Over-the-counter Drugs & Medicines Requiring a Prescription

  • Acne medications
  • Allergy & Sinus medications (Sudafed, Zyrtec, etc.)
  • Anti-fungal medications
  • Anti-itch medications
  • Cold sore medications
  • Cold, cough & flu remedies
  • Decongestants
  • Diaper rash ointments
  • First aid creams
  • Gastrointestinal aids (antacids, proton pump inhibitors, anti-diarrhea, laxatives, nausea, etc.)
  • Lactose intolerance pills
  • Motion sickness pills
  • Nasal sprays for congestion
  • Pain relievers (aspirin, Tylenol, etc.)
  • Pre-natal vitamins
  • Sleeping aids
  • Suppositories
  • Toothache relief
  • Topical ointments
  • Wart remover
  • Yeast infection creams

Plan restrictions may apply. Check with your plan administrator.