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 for 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 |
HAIR LOSS TREATMENT |
HCFSA |
|
X |
|
May be eligible when used to treat hair loss due to a specific medical condition. |
HAIR TRANSPLANT |
HCFSA |
|
|
X |
See COSMETIC PROCEDURES |
HAND SANITIZER |
HCFSA |
X |
|
|
Examples include: This does not include soaps, lotions or other personal hygiene items that include sanitizing ingredients; they are not eligible. Please refer to OTC Quick Reference Guide |
HEALING OINTMENTS |
HCFSA |
|
X |
|
Examples include:
For more information, see the OTC QRG. |
HEALTH SCREENINGS |
HCFSA |
X |
|
|
See PREVENTIVE CARE SCREENINGS |
HEARING AIDS |
HCFSA |
X |
|
|
Includes batteries |
HEMORRHOIDAL TREATMENTS |
HCFSA |
X |
|
|
Examples include: See the OTC Quick Reference Guide for more information. |
HOME DIAGNOSTIC KITS/TESTS |
HCFSA |
X |
|
|
Examples include:
- Blood pressure monitors
- Cholesterol tests
- Colorectal screenings
- Diabetic equipment and supplies
- HIV tests
- Pregnancy tests
See the OTC Quick Reference Guide for more information. |
HOME MEDICAL EQUIPMENT |
HCFSA |
X |
|
|
Home medical equipment may require a letter of medical necessity (LMN) for reimbursement. |
HOMEOPATHIC CARE |
HCFSA |
X |
|
|
Homeopathic 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. |
HOMEOPATHIC MEDICINES |
HCFSA |
|
X |
|
Homeopathic medicines used for treatment of a specific illness or disorder can be reimbursed. See the OTC Quick Reference Guide. |
HORMONE SUPPLEMENTS, OTC |
HCFSA |
|
X |
|
Supplements used for relief of peri-menopausal or menopausal symptoms may be reimbursed. See the OTC Quick Reference Guide. |
HOUSEHOLD HELP |
HCFSA |
|
|
X |
|
HOUSEHOLD HELP (cont.) |
DCFSA |
|
X |
|
Duties must include caring for an eligible dependent. |
HUMIDIFIERS |
HCFSA |
|
X |
|
See ALLERGY RELIEF, CAPITAL EXPENSES |
HYDROTHERAPY |
HCFSA |
|
X |
|
|
HYPNOSIS |
HCFSA |
X |
|
|
|
Eligible expenses listed here are subject to change without notice.
|