Eligible General Purpose FSA Expense List

Items Typically Eligible

  • Acupuncture
  • Alcoholism Treatment Programs
  • Ambulance Services
  • Artificial Limbs
  • Birth Control (not Plan B)
  • Braille Books and Magazines
  • Breast Pumps
  • Chiropractor Services
  • Christian Science Practitioners
  • Contact Lenses
  • Contact Lens Solutions
  • Crutches/Canes
  • Dental Services
  • Diagnostic Services
  • Drug Treatment Programs
  • Eyeglasses/Exams
  • Guide Dog
  • Hearing Aids (and batteries)
  • Hospital Services
  • Immunizations
  • Insulin
  • Laboratory Services
  • Medical Mileage   (.18 cents/mile 2018;  .20 cents/mile 2019)
  • Medical Services
  • Nursing Services
  • Osteopathic Physicial Services
  • Over-the-Counter Items*
  • Over-the-Counter Medications*
  • Oxygen
  • Prescription Drugs
  • Psychiatric Services
  • Transplants
  • Transportation for Eligible Services Rendered
  • Wheelchairs
  • X-Rays

Items Typically Ineligible

  • Cosmetic Procedures/Drugs of any nature
  • Food Costs
  • Hair Removal
  • Health Club Memberships
  • Insurance Premiums
  • Marriage Counseling
  • Medical Marijuana Use

Items that Typically Require a Medical Determination Letter to be Completed by a Licensed Practitioner

  • Alternative Medicines and Procedures
  • Breast Reconstruction after mastectomy
  • Car Modifications
  • Dietary Supplements
  • Dyslexia Treatments
  • Exercise Equipment or Programs
  • Fitness Programs
  • Home Improvements
  • Lodging (as related to medical services provided)
  • Massage Therapy
  • Orthopedic Shoes and Inserts
  • Reconstructive Surgery (following accident/injury)
  • Special Schools (as applies to mental and physical disabilities)
  • Swimming Lessons (as applies to treatment of medical condition)
  • Special Class Tuition (as applied to specific medical condition)
  • Vitamins
  • Weight Loss Programs (food excluded)
FSA Coupon
FSA Coupon

*A list of eligible over-the-counter items is available

**A list of eligible over the-counter items that requires a prescription to accompany the request for reimbursement is available

Please note that an expense is only considered eligible for FSA reimbursement if it is deemed medically necessary to treat a specific medical condition, disease or diagnosis. A Letter of Medical Determination may be requested at any time for additional clarification and may require additional processing time. This list is meant to be used as general guidance for eligible FSA expenses and not meant to be all-encompassing.