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Typically, eligible health care expenses are expenses incurred
for medical care. Medical care expenses include amounts
paid for the diagnoses, care, mitigation, treatment, or
prevention of disease or illness and for treatments affecting
any part or function of the body. See the SHPS FSA Eligible Expense Guide for more information.
Eligible
expenses may have been incurred for you, your spouse, children,
and any other person who is a qualified dependent under
the Internal Revenue Code. You can only be reimbursed for
expenses incurred while you are enrolled in the plan. The date you pay for the item
or service is not relevant.
Over-the-Counter
Medications
Certain non-prescription drug expenses
may be reimbursed from pre-tax dollars contributed by an
employee to a Health Care FSA.
Reimbursement is not permitted for OTC products that are
not medicines or drugs, or merely benefit the general health
of an FSA participant.
Generally, with the exception of expenses for cosmetic
procedures and health insurance premiums, any health care
expense that is deductible under the Internal Revenue Code,
and is not covered by insurance or any other source that
provides benefits, are eligible for reimbursement through
the Health Care FSA.
Examples of
Eligible Health Care Expenses
- Acupuncture
- Allergy medicines (e.g. Claritin, Loratadine)
- Air conditioners*
- Amount applied to any medical, dental, or vision deductible
- Automobile equipment to assist the physically disabled
- Birth control pills
- Braille books and magazines
- Child birth preparation classes
- Chiropractic expenses
- Cold medicines, cough syrups (e.g., Nyquil, Triaminic,
Pedia-Care)
- Contact lenses and solutions
- Co-pay amounts under your insurance plan
- Co-insurance
- Cost of guide dogs for persons who are visually or
hearing impaired
- Cost of a note-taker for a hearing impaired child in
school
- Crutches
- Dental cleanings and fillings
- Detoxification or drug abuse centers
- Diabetic supplies
- Expenses in excess of medical, dental, or vision plan
limits
- Expenses for services connected with donating an organ
- Eye exams
- Eyeglasses
- Hearing aids
- Heartburn medications
- Household visual alert system for hearing impaired
persons
- Laser eye surgery
- Medically necessary mattresses and boards*
- Orthodontia
- Orthopedic shoes
- Pain relievers (e.g., acetaminophen, ibuprofen)
- Physical therapy
- Prescription drugs
- Psychotherapy
- Radiation treatments
- Remedial reading*
- Respirators
- Routine physical exams
- Smoking cessation programs (excluding over-the-counter
treatments)
- Specialized equipment for disabled persons
- Special devices, such as a tape recorder and typewriter,
for persons who are visually impaired
- Speech therapy
- Sterilization surgery
- Topical antibiotics (e.g., Bacitracin)
- Topical steroids (e.g., Hydrocortisone cream)
- Transportation expenses related to medical care
- Water fluoridation devices*
- Weight reduction program for physician-diagnosed obesity
- Well baby and well child care
- Wheelchairs
- Whirlpool baths*
- Wigs for hair loss due to any disease*
- X-rays
*Expenses
must be accompanied by a doctor's certification specifying
the medical disorder, the treatment needed, and how the
treatment will alleviate the condition.
Expenses That
Are Ineligible
The following
expenses are not eligible under any circumstances
- Cosmetic surgery
- Diaper service
- Ear
piercing
-
Electrolysis
- Expenses claimed on your income tax return
- Expenses reimbursed by other services, such as insurance
companies
- Facelifts
- Hair
loss treatment, drugs or transplants
- Health
care expenses paid under any health plan
- Household
help, even if recommended by a physician
- Insurance
premiums
- Illegal
treatments, operations, or drugs
- Late
payment fees
- Marriage
counseling, unless performed for purpose of alleviating
or preventing a physical or mental defect or illness
- Herbal
remedies
- Social
activities, such as dance classes, even if recommended
by a physician
- Teeth
whitening
- Vitamins/nutritional
supplements
- Weight
reduction programs for general well being
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