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 |
NASAL STRIPS |
HCFSA |
X |
|
|
Nasal strips that are used to alleviate snoring or reduce nasal congestion are eligible for reimbursement from your HCFSA. Examples include: Please refer to OTC Quick Reference Guide. |
NATUROPATHIC CARE |
HCFSA |
|
X |
|
Naturopathic care rendered by a licensed health care professional who provides this care for the treatment of a specific illness or disorder for you, your spouse or dependent can be reimbursed under a HCFSA. |
NON-COVERED SERVICES |
HCFSA |
X |
|
|
Medical care or services that are not covered under your FEHB plan may be reimbursed under an HCFSA. |
NEWBORN NURSING CARE |
HCFSA |
|
|
X |
Nursing services for a normal, healthy newborn are not an eligible expense. |
NURSING CARE AND SERVICES (private duty nursing) |
HCFSA |
|
X |
|
Nursing services are an eligible expense, whether provided in your home or another facility. The nurse need not be an R.N. or L.P.N., so long as the services rendered are of a kind generally performed by a nurse. These include services directly related to caring for and monitoring your, your spouse’s or dependent’s condition, including:
- Preparing and giving medication
- Changing dressings and providing wound care
- Monitoring vital signs
- Assessing responses to prescribed treatments, and documenting those assessments in written notes
If the individual providing nursing services also provides household and personal services, only those charges related to actual nursing care are eligible expenses. |
NURSING HOME |
HCFSA |
|
X |
|
Expenses for medical care in a nursing home for you, your spouse and dependent(s), including meals and lodging may be reimbursed if the main purpose of the stay is to receive medical care.
If the primary reason for confinement is personal (i.e., you or your spouse or dependent needs assistance with activities of daily living, safety issues, etc.), only the portion of the cost that is directly related to medical care or nursing services may be reimbursed.
|
NUTRITIONAL SUPPLEMENTS |
HCFSA |
|
X |
|
Dietary, nutritional, and herbal supplements, vitamins, and natural medicines are not reimbursable if they are merely beneficial for general health. However, they may be reimbursable if recommended by a medical practitioner to treat a specific medical condition. |
NUTRITIONIST |
HCFSA |
|
X |
|
Nutritional services related to the treatment and guidance of a specific diagnosis or medical condition can be reimbursed. |
Eligible expenses listed here are subject to change without notice.
|