FSAFEDS Eligible Expenses: E PRINT THIS PAGE | Close this Window

For the FSAFEDS HCFSA and LEX HCFSA, services listed in this document as eligible (or that meet the "potentially eligible" requirements) are eligible for reimbursement, if the services are:

  • rendered by a health care professional appropriately licensed or certified in the state in which he or she practices; and
  • performed within the scope of the health care professional's license.

For the FSAFEDS DCFSA, services listed in this document as eligible (or that meet the "potentially eligible" requirements) are eligible for reimbursement, if the services are:

  • for an individual you claim as a dependent on your Federal Tax return who is under 13 or incapable of self-care; and
  • necessary to allow you and your spouse, if married, to work, look for work or attend school full-time.

*Please note, all "potentially eligible expenses" require a letter of medical necessity from your health care provider in order to be considered eligible for reimbursement. The letter must include the diagnosis or symptoms from which you, your spouse or dependent are being treated, along with specific information on how the product or service is intended to alleviate symptoms or improve function. Submitting a LMN for your claim does not guarantee that the expense will be reimbursed.

Condition/Type of Service/Expense Account Type Eligible
Expense		 Potentially
Eligible
Expense*		 Not
Eligible		 Additional Information
EAR CARE HCFSA X     Examples include:
  • Ear drops
  • Ear wax removal
For more information, see the OTC Quick Reference Guide.
EAR PLUGS HCFSA   X   Must be prescribed to treat a specific medical condition, such as the presence of middle/inner ear tubes.
EDUCATION HCFSA   X   Payments made to a special school for a mentally impaired or physically disabled person qualify as reimbursable if the main reason for using the school is its resources for relieving the disability. This includes teaching Braille to a visually impaired person, teaching lip reading to a hearing impaired person, and giving remedial language training to correct a condition caused by a birth defect.
ELDER CARE DCFSA X     Adult must live with you at least 8 hours a day and be claimed as a dependent on your Federal Tax return.
ELECTROLYSIS HCFSA     X  
ELECTROLYTE REPLACEMENTS HCFSA X     Examples include:
  • Pedialyte
For more information, see the OTC Quick Reference Guide.
EYE CARE HCFSA X     Examples include:
  • Eye drops
  • Eye patches
  • Reading glasses
For more information, see the OTC Quick Reference Guide.
EYEGLASSES/EYE EXAMS HCFSA
LEX HCFSA		 X     Includes prescription sunglasses and reading glasses (even those purchased over-the-counter).
EXERCISE EQUIPMENT HCFSA   X    
EXERCISE PROGRAMS HCFSA   X   See also FITNESS PROGRAMS; WEIGHT LOSS PROGRAMS.


Eligible expenses listed here are subject to change without notice.