FSAFEDS Eligible Expenses: S 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
SALES TAX HCFSA       See TAXES
SERVICE ANIMALS HCFSA X     Expenses to train or procure any guide dog, signal dog, or other animal individually trained to provide assistance to you, your spouse or dependent with a disability can be reimbursed under a HCFSA. Expenses such as food, medications, vet visits, and dental care products needed for the care or maintenance of service animals are eligible expenses.
SHIPPING AND HANDLING HCFSA X     Shipping and handling charges for medical needs, such as mail-order prescriptions and eligible over-the-counter items.
SLEEP AIDS HCFSA X     Examples include:
  • Nytol
  • Sominex
  • Tylenol PM
  • Unisom
Please refer to OTC Quick Reference Guide.
SMOKING CESSATION MEDICINES HCFSA X     Examples include:
  • Commit
  • Nicoderm CQ
  • Nicorette
  • Nicotrol
See OTC Quick Reference Guide.
SMOKING CESSATION PROGRAMS HCFSA X      
SPECIAL EDUCATION AND SCHOOLS HCFSA   X   See LEARNING DISABILITIES
SPECIAL FOODS HCFSA   X   If prescribed by a physician to treat a special illness or ailment, and not merely as a substitute for normal nutritional requirements.

The amount that can be reimbursed is limited to the amount that the special food exceeds the cost of commonly available versions of the same product.

SPECIALIZED EQUIPMENT OR SERVICES HCFSA       See ADAPTIVE EQUIPMENT
SPEECH THERAPY HCFSA X      
SPERM STORAGE HCFSA   X   Storage fees can be reimbursed if you, your spouse or dependent has a cancer or blood dyscrasia diagnosis that requires chemotherapy or whole body radiation which may affect future ability to conceive children. NOTE: Storage fees should not exceed twelve months.
STERILIZATION PROCEDURES HCFSA X      
STERILIZATION REVERSAL HCFSA X      
STUDENT HEALTH FEE HCFSA     X  
SUBSTANCE ABUSE HCFSA X     See ALCOHOLISM
SUBWAY FARE HCFSA X     See TRANSPORTATION
SUNBURN/BURN RELIEF HCFSA X     Examples include:
  • Aloe Vera
  • Solarcaine
Please refer to OTC Quick Reference Guide
SUN-PROTECTIVE CLOTHING HCFSA   X   Clothing that offers at least 30+ UVA and UVB sun protection for individuals with melanoma or other skin cancer, systemic lupus erythematosus (SLE), acute cutaneous lupus (ACLE) or other significant dermatologic conditions may be eligible with a letter of medical necessity from your doctor. The clothing is reimbursed for the difference between “normal” apparel and this specially-constructed clothing up to 33% of the total cost. The receipt must show the purchase was from an accredited sun-protective company such as Solumbra® or Coolibar®.
SUNSCREEN HCFSA X     Sunscreen products with an SPF 30 or higher are eligible. Lotions or cosmetics that contain ingredients to protect you from the sun and/or list a SPF are not eligible. See OTC Quick Reference Guide

Eligible expenses listed here are subject to change without notice.