Eligible Expenses Juke Box

FSAFEDS Eligible Expenses: M

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
MASSAGE THERAPY	HCFSA			X	To reduce stress or improve general health.
MASSAGE THERAPY (cont.)	HCFSA		X		If prescribed by a physician for a specific illness, injury, trauma or condition.
MATERNITY AIDS	HCFSA				See PREGNANCY AIDS
MATERNITY CLOTHES	HCFSA			X
MEALS	HCFSA			X
MEDICAL ALERT BRACELET	HCFSA	X
MEDICAL INFORMATION	HCFSA	X			Amounts paid to a plan that maintains electronic medical information for you, your spouse or dependents are eligible for reimbursement under an HCFSA.
MEDICAL RECORDS	HCFSA	X			Costs associated with copying or transferring medical records to a new provider are eligible for reimbursement.
MEDICAL SAVINGS ACCOUNTS	HCFSA			X
MEDICAL SERVICES	HCFSA	X			Expenses for medical services prescribed by physicians or other health care providers acting within their scope of licensure can be reimbursed under a HCFSA.
MEDICAL SUPPLIES	HCFSA	X			Please refer to OTC Quick Reference Guide
MEDICATED LIP PRODUCTS	HCFSA	X			Medicated lip products that are used to treat severely dry, chapped lips or cold sores are eligible for reimbursement from your HCFSA. Examples include: Blistex Medicated Lip Ointment Carmex Medicated Lip Balm Neosporin Lip Treatment Please refer to OTC Quick Reference Guide. Non-medicated lip products with moisturizers are not eligible.
MENSTRUAL RELIEF	HCFSA	X			Examples include: Midol Pamprin Premysyn PMS Please refer to OTC Quick Reference Guide
MIGRAINE RELIEF	HCFSA	X			Examples include: Advil Migraine Excedrin Motrin Migraine Please refer to OTC Quick Reference Guide
MILEAGE	HCFSA	X			The mileage rate from January 1 - June 30, 2008 is 19 cents per mile, and from July 1 - December 31, 2008 the mileage rate is 27 cents per mile for medical care received during the 2008 calendar year. Beginning January 1, 2009 the mileage rate will be 24 cents per mile. Be sure to include the date(s) of service and number of miles traveled for reimbursement.
MINERALS	HCFSA		X		Examples include: Calcium Caltrate Feosol Ferrous Sulfate Folic Acid Please refer to OTC Quick Reference Guide
MISSED APPOINTMENT FEES	HCFSA			X
MOTION SICKNESS MEDICINES	HCFSA	X			Examples include: Bonine Dramamine Marizine Please refer to OTC Quick Reference Guide

Eligible expenses listed here are subject to change without notice.