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FSA Reimbursement | Print |

What expenses are eligible/ineligible for reimbursement under the Health Care FSA?  

The IRS defines medical expenses as those related to the diagnosis, cure, mitigation, treatment, or prevention of disease. Medical care expenses must be primarily to alleviate or prevent a physical or mental defect or illness, and do not include expenses that are merely beneficial to general health or aesthetic, such as vitamins, toothpaste, cosmetic surgery, or weight loss programs. In general, employees can use a health FSA to pay for medical expenses that are not reimbursed through an insurance plan.

Please note that effective January 1, 2011, healthcare reform law mandates that no over-the-counter medicine or drug (with the exception of insulin) may be reimbursed by a health FSA without a legal prescription. Examples of over-the-counter medicines and drugs that now require a prescription for reimbursement from an FSA are noted in the list below.

Click here for more information about the effect of healthcare reform on FSA

Common examples of health FSA eligible expenses include:
•  Prescription Drugs
•  Co-payments
•  Office Visits
•  Dental Care and Orthodontia
•  Over-the-Counter Medicines and Drugs (With a Prescription)
•  Vision Care
•  X-Rays and Lab tests
•  Contacts and Contact Lens Solution
•  Acne Treatments (With a Prescription)
•  Acupuncture
•  Allergy and Sinus Medication (With a Prescription)
•  Antacids (With a Prescription)
•  Band-Aids
•  Birth Control
•  Blood Sugar Test Kits and Supplies
•  Breast Pump and Breast Pump Supplies
•  Cold and Flu Medicine (With a Prescription)
•  Condoms
•  Cough Drops and Lozenges (With a Prescription)
•  Crutches, Canes, and Walkers
•  Dentures
•  Diagnostic Services
•  Diaper Rash Ointments and Creams (With a Prescription)
•  Eye Drops (With a Prescription)
•  Eyeglasses
•  Flu Shots
•  Hearing Aids and Batteries
•  Immunizations
•  Lasik
•  Laxatives (With a Prescription)
•  Medical Equipment
•  Motion Sickness Drugs (With a Prescription)
•  Nasal Spray (With a Prescription)
•  Occupational Therapy
•  Orthotics
•  Orthopedic supports
•  Pain Relievers (With a Prescription)
•  Physical Therapy
•  Pregnancy Tests
•  Prosthesis
•  Psychiatric Care
•  Psychologist Fees
•  Smoking Cessation Programs
•  Smoking Cessation Gums or Patches (With a Prescription)
•  Speech Therapy
•  Spermicidals
•  Wheelchairs
•  Wound Care

For a more comprehensive list of eligible/ineligible expenses, please log in to the AmeriFlex Convenience Portal.

 
 

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