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FSA Eligible Expenses

Below is a listing of items that are typically covered. Click on the WageWorks logo above and enter your User Name and Password to see your employer's complete list of eligible expenses.

Standard FSA = The type of plan offered by most employers, it covers your medical, dental, vision and pharmacy expenses. Having this type of FSA disqualifies you from contributing to an HSA.

HSA-Compatible (or Limited) FSA = A new type of FSA designed for people who want to take advantage of and contribute to an HSA and who have expected dental and vision expenses. Because this plan does not cover any medical or pharmacy expenses, it does not disqualify you from contributing to an HSA. Participating in this plan lets you put all the money you can into an HSA and then all the money you need to spend this year on dental and vision expenses in an FSA - so you get the advantages of both programs.

Yes (Letter) = In addition to the required detailed receipt, you will need to submit a Letter of Medical Necessity (click here for form to be completed by your doctor) dated on or before the date you incurred the expense to verify this expense is medically-necessary treatment for a known medical condition.

Yes (Rx) = In addition to the required detailed receipt, you will need to submit an actual prescription written by your doctor (on a prescription pad or form) dated on or before the date you incurred the expense to verify this over-the-counter medicine is prescribed for a known medical condition.

Click on a letter to view expenses that begin with that letter.

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Standard
FSA

Limited FSA or
HSA Compatible

 

01 - Rx (prescription)

Yes

No

 

02 - Co-payment (medical)

Yes

No

 

03 - Office visit (medical)

Yes

No

 

04 - Dental

Yes

Yes

 

05 - Over-the-counter drugs and medicines (eligible)

Yes (Rx)

No

 

06 – Vision

Yes

Yes

 

07 - Psych / therapy

Yes

No

 

08 - Chiropractic care

Yes

No

 

09 - Lab (medical)

Yes

No

 

10 - Orthodontia

Yes

Yes

 

11 - Hospital fees

Yes

No

 

12 - X-ray (medical)

Yes

No

 

13 - Over-the-counter vision products

Yes

Yes

 

Acne treatments (over-the-counter)

Yes (Rx)

No

Acupuncture

Yes

No

 

Adoption (medical expenses related to)

Yes

No

 

Adoption fees

No

No

 

Alcoholism treatment

Yes

No

 

Allergy & sinus medicine and products (over-the-counter)

Yes (Rx)

No

 

Allergy medication

Yes (Rx)

No

 

Allergy treatments and products

Yes (Letter)

No

 

Alternative dietary supplements (for treatment of a medical condition)

Yes (Letter)

No

 

Alternative drugs, medicines and treatment products (for treatment of a medical condition)

Yes (Letter)

No

 

Alternative healers (for treatment of a medical condition)

Yes (Letter)

No

 

Ambulance and emergency health services

Yes

No

 

Anesthesia (for non-cosmetic purposes)

Yes

No

 

Antacid (over-the-counter)

Yes (Rx)

No

 

Antibiotic ointment (over-the-counter)

Yes (Rx)

No

 

Aspirin or other pain reliever (over-the-counter)

Yes (Rx)

No

 

Asthma medicines or treatments (over-the-counter)

Yes (Rx)

No

 

Athletic treatments / braces

Yes

No

 

Bandages and related items (over-the-counter)

Yes

No

Birth control (prescription or other)

Yes

No

 
Birth control devices (over-the-counter)

Yes

No

 

Blood pressure monitor

Yes

No

 

Blood sugar test kits and test strips

Yes

No

 

Body scans

Yes

No

 

Braille books and magazines (difference in cost only)

Yes (Letter)

Yes (Letter)

 

Breastfeeding classes

No

No

 

Breast pump (to compensate for a medical condition)

Yes (Letter)

No

 

Breast reconstruction surgery (following mastectomy)

Yes (Letter)

No

 

COBRA premiums (dental)

No

No

COBRA premiums (medical)

No

No

 

COBRA premiums (other)

No

No

 

COBRA premiums (prescription)

No

No

 

COBRA premiums (vision)

No

No

 

Cancer (fixed indemnity, $x per day) insurance premiums

No

No

 

Canker & cold sore treatments (over-the-counter)

Yes (Rx)

No

 

Car modifications (as required for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

No

 

Chest rubs (over-the-counter)

Yes (Rx)

No

 

Child or newborn care instruction

No

No

 

Childbirth classes

Yes

No

 

Chiropractic office visit or treatment

Yes

No

 

Christian Science practitioners

Yes

No

 

Cholesterol test kits and supplies

Yes

No

 

Co-insurance (dental)

Yes

Yes

 

Co-insurance (medical)

Yes

No

 

Co-insurance (prescription)

Yes

No

 

Co-insurance (vision)

Yes

Yes

 

Co-payment (dental)

Yes

Yes

 

Co-payment (medical)

Yes

No

 

Co-payment (other)

Yes

No

 

Co-payment (vision)

Yes

Yes

 

Cold & flu medicine (over-the-counter)

Yes (Rx)

No

 

Cold cream (over-the-counter)

No

No

 

Compression or anti-embolism socks, stockings or hose

Yes (Letter)

No

 

Concierge medical fees (billed for actual services received)

Yes

No

 

Concierge medical fees (billed for future availability of services, with no services actually received)

No

No

 

Condoms

Yes

No

 

Contact lenses, cleaning solutions, etc.

Yes

Yes

 

Contraceptives (prescription)

Yes

No

 

Contraceptives (over-the-counter)

Yes (Rx)

No

 

Cord blood storage (for future treatment of a birth defect or known medical condition)

Yes (Letter)

No

 

Cord blood storage (for unidentified future use)

No

No

 

Corn and callus remover (over-the-counter)

Yes (Rx)

No

 

Corneal keratotomy

Yes

Yes

 

Cosmetic procedures or surgery

No

No

 

Cough drops & sore throat lozenges (over-the-counter)

Yes (Rx)

No

 

Cough syrup (over-the-counter)

Yes (Rx)

No

 

Counseling (for treatment of a medical condition)

Yes

No

 

CPR classes (adult or child)

No

No

 

Crutches, canes, walkers or like equipment (purchase or rental)

Yes

No

 

Dancing lessons (for treatment of a medical condition)

Yes (Letter)

No

Deductible for dental plan

Yes

Yes

 

Deductible for medical plan

Yes

No

 

Deductible for prescription plan

Yes

No

 

Deductible for vision plan

Yes

Yes

 

Dental care (for non-cosmetic purposes, including sealants)

Yes

Yes

 

Dental co-insurance

Yes

Yes

 

Dental co-payment

Yes

Yes

 

Dental insurance premiums

No

No

 

Dental plan premiums

No

No

 

Dental products (for treatment of a dental condition and/or general health)

No

No

 

Dental reconstruction (including implants)

Yes

Yes

 

Dental veneers

Yes (Letter)

Yes (Letter)

 

Dentures, bridges, etc.

Yes

Yes

 

Diabetic monitors, test kits, strips and supplies

Yes

No

 

Diagnostic services (other than dental or vision)

Yes

No

 

Diagnostic services (dental or vision)

Yes

Yes

 

Diaper rash ointments and creams

Yes (Rx)

No

 

Diapers and diaper services

No

No

 

Dietary supplements (for treatment of a medical condition)

Yes (Rx)

No

 

Doula or birthing coach

Yes (Letter)

No

 

Drug addiction treatment

Yes

No

 

Drugs (experimental or imported)

No

No

 

Drugs (prescription)

Yes

No

 

Dyslexia treatment

Yes

No

 

Ear drops & wax removal (over-the-counter)

 Yes (Rx)

No

Educational classes or tuition

No

No

 

Electrolysis

No

No

 

Emergency kits (over-the-counter)

No

No

 

Exercise equipment or program (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

No

 

Eye examinations

Yes

Yes

 

Eye related equipment/materials

Yes

Yes

 

Eye surgery or treatment to correct vision

Yes

Yes

 

Eyeglasses (over-the-counter)

Yes

Yes

 

Eyeglasses (prescription)

Yes

Yes

 

Face lifts

No

No

Feminine hygiene products

No

No

 

Fertility monitor (over-the-counter)

Yes

No

 

Fertility treatment (for employee, spouse or dependent)

Yes

No

 

Fertility treatment (for non-dependent surrogate)

No

No

 

First aid kits (over-the-counter)

Yes

No

 

Fitness programs (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

No

 

Flu shots

Yes

No

 

Funeral expenses

No

No

 

Gastrointestinal medication (over-the-counter)

Yes (Rx)

No

Guide dog (dog, training, care)

Yes

Yes

 

Hair regrowth products

No

No

Hair removal

No

No

 

Hair transplant

No

No

 

Hair treatments

No

No

 

Hand lotion (over-the-counter)

No

No

 

Health club dues (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

No

 

Health insurance premiums

No

No

 

Health plan premiums

No

No

 

Health savings account (HSA) contributions

No

No

 

Hearing aids and batteries

Yes

No

 

Herbal or homeopathic medicines (over-the-counter)

Yes (Letter)

No

 

Home improvements (as required for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

No

 

Hospital (fixed indemnity, $x per day) insurance premiums

No

No

 

Hospital services and fees

Yes

No

 

Household help

No

No

 

Humidifier, air filter and supplies

Yes (Letter)

No

 

Illegal operations or substances

No

No

Immunizations

Yes

No

 

Incontinence supplies

Yes

No

 

Individual dental insurance premiums

No

No

 

Individual dental plan premiums

No

No

 

Individual insurance premiums

No

No

 

Individual medical insurance premiums  

No

No

 

Individual medical plan premiums

No

No

 

Individual plan premiums

No

No

 

Individual prescription insurance premiums

No

No

 

Individual prescription plan premiums

No

No

 

Individual vision insurance premiums

No

No

 

Individual vision plan premiums

No

No

 

Infertility treatment (for employee, spouse or dependent)

Yes

No

 

Insulin, testing materials and supplies

Yes

No

 

Insurance or health insurance premiums

No

No

 

Insurance or health plan premiums

No

No

 

Laboratory fees

Yes

No

Lactose intolerance (over-the-counter)

Yes (Rx)

No

 

Lamaze classes

Yes

No

 

Laser eye surgery

Yes

Yes

 

Lasik

Yes

Yes

 

Late payment fees charged by health care provider

No

No

 

Laxatives (over-the-counter)

Yes (Rx)

No

 

Learning disability treatments

Yes

No

 

Lice treatment (over-the-counter)

Yes (Rx)

No

 

Listening therapy

Yes

No

 

Lodging (essential to receive medical care)

Yes (Letter)

No

 

Long term care premiums (up to IRS tax-free limit, see IRS Publication 502)

No

No

 

Long term care services

No

No

 

Long term disability insurance premiums

No

No

 

Magnetic therapy (over-the-counter)

Yes (Letter)

No

Marriage counseling

No

No

 

Massage therapy (for treatment of a medical condition)

Yes (Letter)

No

 

Mastectomy-related special bras

Yes

No

 

Maternity clothes

No

No

 

Medical abortion

Yes

No

 

Medical co-insurance

Yes

No

 

Medical co-payment

Yes

No

 

Medical equipment (for treatment of medical condition) and repairs

Yes

No

 

Medical insurance premiums

No

No

 

Medical plan premiums

No

No

 

Medical literature, books, pamphlets or audio

No

No

 

Medical monitoring and testing devices

Yes

No

 

Medical records charges

Yes

No

 

Medical savings account (MSA) contributions

No

No

 

Medical supplies (for treatment of a medical condition)

Yes

No

 

Medicare alternative insurance or plan premiums

No

No

 

Medicare Part B insurance

No

No

 

Medicare Part B premiums

No

No

 

Medicare alternative insurance premiums (vs. Part A & Part B)

No

No

 

Medicare alternative plan premiums (vs. Part A & Part B)

No

No

 

Medicare supplement policy premiums

No

No

 

Medicines (over-the-counter)

Yes (Rx)

No

 

Medicines (prescription)

Yes

No

 

Midwife

Yes

No

 

Mileage (for travel to / from eligible health care – $.19 effective 01/01/2011 and $.165 from 1/1/2010 to 12/31/2010 per documented mile)

Yes

No

 

Modified equipment (difference in cost only)

Yes (Letter)

No

 

Monitors & test kits (over-the-counter)

Yes

No

 

Motion & nausea

Yes (Rx)

No

 

Nasal sprays

Yes (Rx)

No

Nasal strips (over-the-counter)

Yes (Rx)

No

 

No show fees charged by health care provider

No

No

 

Norplant insertion or removal

Yes

No

 

Nursing services (wages and taxes)

Yes

No

 

Nutritional supplements (for treatment of a medical condition)

Yes (Letter)

No

 

OB/GYN fees

Yes

No

Occlusal guards to prevent teeth grinding

Yes

Yes

 

Occupational therapy (related to a medical condition or disability)

Yes

No

 

Office visits (chiro)

Yes

No

 

Office visits (dental)

Yes

Yes

 

Office visits (medical)

Yes

No

 

Office visits (psych/therapy)

Yes

No

 

Office visits (vision)

Yes

Yes

 

Operations (for non-cosmetic purposes)

Yes

No

 

Operations (for vision and dental only)

Yes

Yes

 

Optometrist / ophthalmologist fees

Yes

Yes

 

Oral care (over-the-counter)

No

No

 

Organ transplants (recipient and donor)

Yes

No

 

Orthotics

Yes

No

 

Ortho keratotomy

Yes

Yes

 

Orthodontia (braces and retainers)

Yes

Yes

 

Orthopedic and surgical supports

Yes

No

 

Orthopedic shoes and inserts (difference in cost only of specialized orthopedic shoe over like non-specialized shoe)

Yes (Letter)

No

 

Over-the-counter acne treatments

Yes (Rx)

No

 

Over-the-counter allergy & sinus medicine

Yes (Rx)

No

 

Over-the-counter antacid

Yes (Rx)

No

 

Over-the-counter antibiotic ointment

Yes (Rx)

No

 

Over-the-counter aspirin or other pain reliever

Yes (Rx)

No

 

Over-the-counter asthma medicines or treatments

Yes (Rx)

No

 

Over-the-counter bandages and related items

Yes

No

 

Over-the-counter canker & cold sore treatments

Yes (Rx)

No

 

Over-the-counter chest rubs

Yes (Rx)

No

 

Over-the-counter cold & flu medicine

Yes (Rx)

No

 

Over-the-counter cold & flu prevention

Yes (Rx)

No

 

Over-the-counter cold cream

No

No

 

Over-the-counter cough drops & sore throat lozenges

Yes (Rx)

No

 

Over-the-counter cough syrup

Yes (Rx)

No

 

Over-the-counter (eligible medical)

Yes (Rx)

No

 

Over-the-counter health care products (eligible)

Yes

No

 

Over-the-counter health care products (not eligible)

No

No

 

Over-the-counter health care products (require a health care provider's prescription)

Yes (Rx)

No

 

Over-the-counter medication (including for motion sickness, sleep aids and sedatives)

Yes (Rx)

No

 

Over-the-counter products for dental, oral and teething pain

Yes (Rx)

Yes (Rx)

 

Over-the-counter products for general dental care

No

No

 

Over-the-counter vision products

Yes

Yes

 

Ovulation monitor (over-the-counter)

Yes

No

 

Oxygen

Yes

No

 

Pain reliever (over-the-counter)

Yes (Rx)

No

Parental fees (billed for actual services received; charged by the State of Minnesota for disabled children)

Yes

No

 

Parental fees (billed for future availability of services, with no services actually received; charged by the State of Minnesota for disabled children)

No

No

 

Personal use items (toothbrush, toothpaste, etc.)

No

No

 

Physical exams

Yes

No

 

Physical therapy

Yes

No

 

Physician retainer fee (for on-call or concierge services)

No

No

 

Pregnancy tests (over-the-counter)

Yes

No

 

Prescription co-insurance

Yes

No

 

Prescription co-payment

Yes

No

 

Prescription drugs (for non-cosmetic purposes)

Yes

No

 

Prescription drugs for cosmetic purposes

No

No

 

Prescription drugs for hair regrowth

No

No

 

Prescription insurance premiums

No

No

 

Prescription plan premiums

No

No

 

Propecia (for treatment of a medical condition)

Yes (Rx)

No

 

Prosthesis

Yes

No

 

Psychiatric care

Yes

No

 

Psychoanalysis

Yes

No

 

Psychologist fees

Yes

No

 

Radial keratotomy (RK)

Yes

Yes

Reading glasses (over the counter)

Yes

Yes

 

Reconstructive surgery (following accident or medical procedure or condition)

Yes (Letter)

No

 

Removal of benign mole, cyst or tumor

Yes

No

 

Retainer fee (to physician for on-call or concierge services)

No

No

 

Retin-A (for non-cosmetic purposes)

Yes (Rx)

No

 

Rogaine or other hair regrowth medications (even if prescribed)

No

No

 

Sales tax, shipping and handling fees (for any eligible expense)

Yes

Yes

Smoking cessation (programs / counseling)

Yes

No

 

Smoking cessation drugs (prescription)

Yes

No

 

Smoking cessation gum or patches (over-the-counter)

Yes (Rx)

No

 

Special equipment

Yes (Letter)

No

 

Special foods (gluten-free, salt-free or other for treatment of a medical condition; difference in cost only)

Yes (Letter)

No

 

Special school (for mental and physical disabilities)

Yes (Letter)

No

 

Speech therapy

Yes

No

 

Spermicidals

Yes (Rx)

No

 

Sterilization

Yes

No

 

Student health fees for dental services (no services actually received; billed for future availability of services)

No

No

 

Student health fees for dental services (billed for actual services received)

Yes

Yes

 

Student health fees for medical services (no services actually received; billed for future availability of services)

No

No

 

Student health fees for medical services (billed for actual services received)

Yes

No

 

Student health fees for prescription services (no services actually received; billed for future availability of services)

No

No

 

Student health fees for prescriptions (billed for actual services received)

Yes

No

 

Student health fees for vision services (no services actually received; billed for future availability of services)

No

No

 

Student health fees for vision services (billed for actual services received)

Yes

Yes

 

Sunglasses (over-the-counter)

No

No

 

Sunglasses (prescription)

Yes

Yes

 

Sunscreen with SPF<30 or suntan lotion (over-the-counter)

No

No

 

Sunscreen with SPF 30+, sunburn creams and ointments (over-the-counter)

Yes (Rx)

No

 

Supplies (for treatment of a medical condition)

Yes

No

 

Surgery (for non-cosmetic purposes)

Yes

No

 

Swimming lessons (for treatment of a medical condition)

Yes (Letter)

No

 

Teeth bleaching or whitening

No

No

Teeth grinding prevention devices

Yes

Yes

 

Therapy (for treatment of a medical condition)

Yes

No

 

Toothache and teething pain reliever (over-the-counter)

Yes (Rx)

Yes (Rx)

 

Toothpaste, toothbrush, floss, etc.

No

No

 

Transgender treatments/surgery

No

No

 

Transportation, parking and related travel expenses (essential to receive eligible care)

Yes

Yes

 

Tubal ligation

Yes

No

 

Tuition or educational classes

No

No

 

Urological products

Yes

No

UV protection clothing

No

No

 

Vaccinations

Yes

No

 

Varicose vein removal surgery (for medical care)

Yes

No

Vasectomy

Yes

No

 

Viagra and similar prescription medications

Yes

No

 

Vision co-insurance

Yes

Yes

 

Vision co-payment

Yes

Yes

 

Vision insurance premiums

No

No

 

Vision plan premiums

No

No

 

Vitamins (over-the-counter, for general health purposes)

No

No

 

Vitamins (prescription)

Yes

No

 

Walking aids (canes, walkers, crutches and related supplies)

Yes

No

Warranties or other charges for future anticipated services (with none actually received)

No

No

 

Wart removal treatments (over-the-counter)

Yes (Rx)

No

 

Weight loss counseling

Yes (Letter)

No

 

Weight loss foods

No

No

 

Weight loss program (to improve or maintain general health)

No

No

 

Weight loss program (for treatment of a medical condition)

Yes (Letter)

No

 

Weight loss drugs (for treatment of a medical condition

Yes (Rx)

No

 

Wheelchair and repairs

Yes

No

 

Wound care (over-the-counter)

Yes

No

 

X-ray fees (dental)

Yes

Yes

X-ray fees (medical)

Yes

No

 

20101020

 

Rx: A prescription under state law is required for this item. Either a receipt with the Rx # identified or a receipt indicating a description of what was purchased and accompanied by a prescription from a provider on an Rx pad dated on or before the purchase should accompany the request for reimbursement.

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