You can use your Health Care FSA to pay for a variety of health care products and services for you, your spouse, and your dependents. The IRS determines which expenses are eligible for reimbursement.
A good rule of thumb is to keep receipts and other supporting documentation related to your Health Care FSA expenses and reimbursement requests. The IRS may request itemized receipts to verify select expenses. Credit card receipts, canceled checks, and balance forward statements do not meet the requirements for acceptable documentation.
In addition to the required detailed receipt, you will need to submit a Letter of Medical Necessity, signed by your doctor, to verify this expense is a medically-necessary treatment for a known medical condition.
The Affordable Care Act (ACA) requires you submit an actual prescription from your doctor, in addition to the required detailed receipt. The prescription must be written by your doctor (on a prescription pad or form) and dated on or before the date you incurred the expense to verify this over-the-counter medicine is prescribed for a known medical condition.
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