HSA - List of Eligible & Ineligible Expenses

    Activity tracker

    Activity tracker

    Acupuncture

    Acupuncture

    Adaptive equipment (e.g. raised toilet seat)

    Adaptive equipment (e.g. raised toilet seat)

    Air fare

    Air fare

    Amounts paid for transportation primarily for, and essential to, medical care are reimbursable. Proof of medical visit corresponding with the travel is required. Companion travel expenses are not eligible unless necessary due to the patient’s medical condition. Transportation expenses must not include a personal element. For example airfare for a two week trip to Hawaii which includes a dentist appointment would not be reimbursable.

    Airborne

    Airborne

    Allergy medication

    Allergy medication

    Ambulance fees

    Ambulance fees

    Analgesics

    Analgesics

    Anesthesia

    Anesthesia

    Anesthesia administered for cosmetic procedures or otherwise ineligible expenses are not reimbursable.

    Antacids

    Antacids

    Anti diarrheal

    Anti diarrheal

    Anti-gas medication

    Anti-gas medication

    Anti-itch cream/gel

    Anti-itch cream/gel

    Antibiotic ointment

    Antibiotic ointment

    Antifungal foot cream

    Antifungal foot cream

    Antiseptic

    Antiseptic

    Asthma relief

    Asthma relief

    Bandage tape

    Bandage tape

    Bandages

    Bandages

    Birth classes or lamaze

    Birth classes or lamaze

    The class must address specific medical issues; labor, delivery and breathing techniques. The cost of the ‘mother-to-be’ is eligible; however, the costs of ‘father-to-be’ and/or a coach are not eligible.

    Blood pressure monitor

    Blood pressure monitor

    Boutique Practice Fees

    Boutique Practice Fees

    Monthly or annual fees a provider may charge for improved access and/or 24/7 availability

    Braces (knee, ankle, wrist)

    Braces (knee, ankle, wrist)

    Braille books and magazines

    Braille books and magazines

    The cost difference between a regular book or magazine and the braille books/magazines is reimbursable.

    Breast augmentation

    Breast augmentation

    Medical costs related to the removal of breast implants that are defective, causing a medical condition, or restorative procedures for cancer patients are reimbursable. Cosmetic procedures such as implants or injections are not reimbursable.

    Breast pumps & supplies

    Breast pumps & supplies

    Breast reduction

    Breast reduction

    Expenses related to a breast reduction are reimbursable only if the procedure is medically necessary and not cosmetic in nature. LMN required.

    Bug spray

    Bug spray

    Burn cream

    Burn cream

    Chiropractic services

    Chiropractic services

    Co-insurance

    Co-insurance

    COBRA Premiums

    COBRA Premiums

    Cold sore treatment

    Cold sore treatment

    Cold/cough medication

    Cold/cough medication

    Contact lens solution

    Contact lens solution

    Contacts

    Contacts

    Contraceptives

    Contraceptives

    Copays

    Copays

    CPAP machine

    CPAP machine

    Deductibles

    Deductibles

    Expenses applied against a medical or dental insurance deductible are eligible. This is not to be confused with a premium, premiums are not eligible.

    Dental services and products

    Dental services and products

    Expenses for dental services and products are reimbursable. This includes expenses for X-rays, fillings, braces, extractions, dentures, etc. Teeth whitening and other cosmetic services are not reimbursable. Hygiene products including toothpaste, floss, mouthwash, and toothbrush/Sonicare products are not reimbursable.

    Diabetic supplies

    Diabetic supplies

    Diaper rash ointment

    Diaper rash ointment

    Doctor visits

    Doctor visits

    Doula services

    Doula services

    Must be licensed and some postpartum doula expense are excluded

    Drug addiction treatment

    Drug addiction treatment

    Ear wax removal kits

    Ear wax removal kits

    Electrolysis

    Electrolysis

    Eye drops

    Eye drops

    Eye exams

    Eye exams

    Fertility treatment

    Fertility treatment

    Medical expenses related to the treatment of infertility, including in vitro fertilization, are reimbursable. Only storage fees for the current plan year are reimbursable. Storage fees for a future plan year are not reimbursable.

    Finance Charges

    Finance Charges

    First aid kits

    First aid kits

    Flu shots

    Flu shots

    Health Club Dues

    Health Club Dues

    Hearing aid supplies

    Hearing aid supplies

    Hearing aids

    Hearing aids

    Hemorrhoid medication

    Hemorrhoid medication

    Home medical equipment

    Home medical equipment

    Hormone therapy

    Hormone therapy

    Hospital

    Hospital

    Expenses incurred at a hospital in-patient or out-patient for laboratory, surgical, and diagnostic services are reimbursable.

    Humidifier

    Humidifier

    Hydrogen peroxide

    Hydrogen peroxide

    Hygiene Products

    Hygiene Products

    Imported OTC & prescription medicines

    Imported OTC & prescription medicines

    In vitro fertilization

    In vitro fertilization

    Medical expenses related to the treatment of infertility, including in vitro fertilization, are reimbursable. Storage fees for the current plan year only are reimbursable. Storage fees for a future plan year are not reimbursable.

    Individual Counseling

    Individual Counseling

    Insurance Premiums

    Insurance Premiums

    Ipecac syrup

    Ipecac syrup

    Lab work

    Lab work

    Lactation consultants

    Lactation consultants

    Lactose intolerance pills

    Lactose intolerance pills

    Laser eye surgery

    Laser eye surgery

    Laxative

    Laxative

    Lice treatment products

    Lice treatment products

    Marijuana

    Marijuana

    Marriage Counseling

    Marriage Counseling

    Massage

    Massage

    Medical abortion

    Medical abortion

    Medical alert bracelet & current year membership fees

    Medical alert bracelet & current year membership fees

    Medical records

    Medical records

    The fees associated with transferring medical records to a new practitioner are reimbursable.

    Menstrual care products

    Menstrual care products

    Missed Appointment Fees

    Missed Appointment Fees

    Motion sickness pills/bracelet

    Motion sickness pills/bracelet

    Naturopathic Expenses

    Naturopathic Expenses

    Naturopathic doctor visits are reimbursable. Naturopathic medicines (dietary supplements etc.) will require a LMN to be reimbursable.

    Non-cosmetic surgery

    Non-cosmetic surgery

    Occupational therapy

    Occupational therapy

    Optometrist

    Optometrist

    Optometric services and expenses for eyeglasses and contact lenses required to treat a medical condition are reimbursable. Premiums for contact lens replacement insurance are not reimbursable.

    Organ transplants

    Organ transplants

    Payments for surgical, hospital, laboratory and transportation expenses for a prospective or actual donor of a kidney or other organ are reimbursable.

    Orthodontia

    Orthodontia

    Unlike other FSA expenses which are deemed incurred when the services are rendered, some orthodontia expenses are deemed incurred when paid—these orthodontia expenses are called pre-payments. For example, if a participant pays a lump sum up front, that payment can be reimbursed in full (provided the lump sum is paid during the same plan year from which reimbursement is requested and while the participant was covered under the plan). You must provide proof of payment in order for prepayments to be reimbursed. Ongoing payments for services (not prepayments) can be reimbursed as those monthly service are rendered (provided the service is provided in the same plan year from which reimbursement is requested and while the participant was covered under the plan). Proof of payment is not required under this second option. Payments made toward orthodontia in a previous plan year or before your eligibility period are not reimbursable.

    Orthotics

    Orthotics

    Oxygen

    Oxygen

    Amounts paid for oxygen or oxygen equipment to relieve breathing problems caused by a medical condition are reimbursable.

    Pain relievers

    Pain relievers

    Parasitic treatment

    Parasitic treatment

    Physical exams

    Physical exams

    Physical Therapy

    Physical Therapy

    Amounts paid for physical therapy to treat a medical condition are reimbursable. Payments made to an individual for special exercises administered to a mentally disabled child are also reimbursable.

    Pregnancy test

    Pregnancy test

    Prenatal vitamins

    Prenatal vitamins

    Prescription drugs

    Prescription drugs

    Prescription glasses

    Prescription glasses

    Psychiatric Care

    Psychiatric Care

    Expenses for psychiatric care, including the cost of a facility where the dependent receives medical care, are reimbursable.

    Psychotherapy

    Psychotherapy

    Reading glasses

    Reading glasses

    Rubbing alcohol

    Rubbing alcohol

    Saline nasal spray

    Saline nasal spray

    Service animal

    Service animal

    The cost of a guide dog or other animal used by the visually impaired or hearing impaired person is reimbursable. Food and veterinarian cost associated with a dog or other animal are also reimbursable. An LMN is required.

    Sexual counseling

    Sexual counseling

    Expenses for counseling by a licensed medical practitioner to treat a medical condition are reimbursable.

    Smoking cessation program

    Smoking cessation program

    Expenses for participation in a smoking cessation program are reimbursable with an LMN.

    Sonicare Products

    Sonicare Products

    Speech therapy

    Speech therapy

    Sterilization

    Sterilization

    Expenses related to legal sterilization, including vasectomy and reverse vasectomy, are reimbursable.

    Stool softener

    Stool softener

    Sunscreen SPF 30 or greater

    Sunscreen SPF 30 or greater

    Proof of SPF required

    Tattoo Removal

    Tattoo Removal

    Teeth Whitening

    Teeth Whitening

    Thermometer

    Thermometer

    Throat lozenges

    Throat lozenges

    Toiletries

    Toiletries

    Transporation/mileage (to receive medical care)

    Transporation/mileage (to receive medical care)

    Expenses paid for transportation primarily for and essential to the rendering of medical care are reimbursable. This includes bus, taxi, train or plane fare, ambulance service, parking fees, tolls and expenses of a parent who must accompany a child who needs medical care. The mileage rate is indexed each year for inflation. The cost of tolls and parking may also be reimbursable. Proof of office visit corresponding with the mileage required.

    Urinary tract infection treatments

    Urinary tract infection treatments

    Vaccinations

    Vaccinations

    Veneers

    Veneers

    Veneers are eligible as long as they are not cosmetic in nature. A Letter of Medical Necessity is required

    Walker

    Walker

    Warranties

    Warranties

    Wart treatment

    Wart treatment

    Wheelchair & repair

    Wheelchair & repair

    X-rays

    X-rays

    Yeast infection treatment

    Yeast infection treatment

  • No Expenses Found