What are eligible expenses?
ELIGIBLE HEALTH CARE EXPENSE
Eligible for reimbursement if not paid by insurance.
Ace bandages Acupuncture
Actifed Allergy medication
Ambulance fees Advil
Aleve Alka Seltzer
Antacids Anacin
Anti-diarrhea medicine Bactine
Balmax Bayer
Bandage tape Band-Aids
Ben Gay Benadryl
Bufferin Burn creams
Blood pressure monitor CPAP Machine
Calamine Caladryl
Chiropractic Chlor-Trimitron
Chloraseptic Claritin
Copays Cold medicine
Compound W Condoms
Contac Contraceptive foams
Contacts Contact lens solution
Cortaid Cough medicine
Crowns Crutches
Dayquil Deductibles
Desenex Desitin
Dimetapp Diabetic supplies
Diaper rash ointments Doctor visits
Dulcolax Dramamine
Drixoral Excedrin
Ex-Lax Eye drops
Eye exams Fillings
First Aid creams First Aid kits
First Aid supplies Flexall
Gauze Gaviscon
Gas-X Glasses
Gyne-Lotrimin Hearing aids
Hemorrhoid medication Hydrocortisone
Immodium AD Kaopectate
Lab work Lactose intolerance pills
Lamisil LASIK
Lotrimin Laxatives
Little Colds Little Noses
Maalox Marazine
Micatin Midol
Midwives Mentholatum
Milk-o-Magnesia Monistat
Mylanta Motrin
Naturopathic Dr. Visits Neosporin
Nicoderm Nicorette
Nicotrol Nicotine gum/patch
Nyquil Orthodontia
Orajel Pamprin
Pain relievers PediaCare
Pepcid AC Pepto-Bismal
Physical exams Physical therapy
Pregnancy tests Prenatal vitamins
Preparation H Prescription drugs
Primatine Mist Prilosec
Psychotherapy Reading glasses
Riopan Plus Robitussin
Rolaids Root canals
Rubbing alcohol Saline solution
Simply Cough Sinus medication
Sudafed Surgery
Syrup of Ipecac Sterilization procedures
Sunscreen Tagamet
Thera-Flu Thermometers
Tiger Balm Tinactin
Triaminic Tums
Tylenol Vaccinations
Vagisil Visine
Vicks X-Rays
Zantac
INELIGIBLE HEALTH CARE EXPENSE
These expenses are not reimbursable through a Health Care FSA.
Airborne
Birthing coach
Breast pumps
Cosmetic surgery
Dental bleaching
Dental Veneers
Electrolysis
Family counseling
Gender Reassignment
Health club dues
Humidifiers
Hygiene products
Hypoallergenic linens
Hypoallergenic pillows
Insurance premiums
Marriage counseling
Marijuana
Shampoo
Naturopathic medicines
Neck support pillows
Rogaine
Shoe Insoles
Sonicare products
Special shoes
Toiletries
Weight loss
meals/bars/shakes
DOCUMENTATION REQUIRED
Certain medical expenses are not reimbursable under a Health Care Flexible Spending Arrangement unless a licensed health care professional states that the service or product is medically necessary.
Acne treatment
Adult diapers
Air purifiers
Custom Orthotics
Herbs
Hormone therapy
Massage therapy
Specialty foods
Supplements
Vitamins
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