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Reimbursable Expenses

Flexible Benefit Plan

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This non-exhaustive list of expenses reimbursable by your Medical Flexible Spending Account is based on Internal Revenue Code 213(d). Please feel free to contact us if you have any questions about eligible expenses.


To view a list, click on a category below:


Reimbursable Expenses

  • Acupuncture
  • Ambulance
  • Artificial limbs
  • Artificial teeth
  • Automobile modifications (hand controls, lifts, etc.)
  • Bandages
  • Birth control
  • Blood pressure monitor
  • Braille books & magazines
  • Breast pumps & lactation expenses
  • Chiropractors
  • Christian Science practitioner
  • Copays, deductibles, & coinsurance
  • Contact lenses & supplies
  • Contraception
  • Crutches
  • Deductible, all family members
  • Dentist fees (if not cosmetic: e.g., teeth whitening is a non-reimbursable expense)
  • Dentures
  • Diagnostic fees
  • Diagnostic devices
  • Drug & alcohol addiction treatment
  • Drug & medical supplies
  • Eyeglasses, incl. exam fee
  • Fertility treatment
  • First Aid kit
  • Guide dog
  • Handicapped persons' schools
  • Hearing devices & batteries
  • Insulin
  • Laboratory fees
  • Laser eye surgery
  • Learning disability - special school fees
  • Mental handicap care
  • Obstetrical expenses (after services have been performed)
  • Operations (medically necessary)
  • Orthodontia (special rules apply)
  • Osteopath fees (licensed)
  • Oxygen
  • Physical/mental illness costs
  • Physical therapy
  • Physician fees
  • Practical nurse fees
  • Prescribed medicine dispensed by a pharmacist (if not cosmetic; for example, hair-loss medications are not reimbursable)
  • Psychiatrist's care
  • Psychologist's fees
  • Routine physicals
  • Smoking cessation (prescribed drugs and non-drug programs such as hypnosis)
  • Special communications equipment for the deaf
  • Special education for the blind
  • Surgical fees
  • Transportation expenses for medical service
  • Tubal ligation
  • Tuition at special school for the handicapped
  • Vasectomy
  • Wheelchair
  • X-rays

Reimbursable with a Prescription

Over-the-counter drugs and medicines now require a prescription for FSA reimbursement. The prescription must be written by a physician on an official prescription pad and must include the name of the patient, the specific OTC drug or medicine, and the number of refills or duration of treatment. You may submit a copy of the prescription and a receipt for purchase of the product with your reimbursement claim form.

  • Acid control medication - Prevacid, Prilosec, Zantac, etc.
  • Acne treatment
  • Allergy medication - Zyrtec, Claritin, etc.
  • Antacids - Tums, etc.
  • Anti-itch medication
  • Cold medication
  • Cough drops
  • Nicotine patches or gum
  • Pain relievers - Advil, Tylenol, etc.
  • Sleep aids

Reimbursable with Letter of Medical Necessity

These items may be reimbursable if accompanied by a note from a doctor recommending the item to treat a specific medical condition. Other special rules may apply.


Letter of Medical Necessity

Non-Reimbursable Expenses

  • Cosmetic surgery (unless restorative)
  • Finance charges
  • Imported drugs (Canada, Mexico)
  • Insurance premiums for individual policies
  • Long term care expenses
  • Marriage counseling
  • Missed appointment fees
  • Personal hygiene products
  • Spa fees
  • Shoes (mass-produced)
  • Teeth whitening
  • Toothbrushes
  • Warranties