Eligible Expenses
You can use your take care® by WageWorks HSA-Compatible FSA to pay for a wide variety of dental and vision care products and services for you, your spouse, and your dependents. The IRS determines which expenses are eligible for reimbursement.
Legend
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.
Keep Your Receipts
It's important to keep receipts and other supporting documentation related to your take care by WageWorks HSA-Compatible 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.
Search Eligible Expenses
| Expense | Eligible |
| No Results | |
| Dental | ![]() |
| Contact lenses and solutions | ![]() |
| Vision care | ![]() |
| Orthodontia | ![]() |
| Braille books and magazines (difference in cost only) | ![]() |
| Co-insurance (dental) | ![]() |
| Co-insurance (vision) | ![]() |
| Co-payment (dental) | ![]() |
| Co-payment (vision) | ![]() |
| Corneal keratotomy | ![]() |
| Deductible for dental plan | ![]() |
| Deductible for vision plan | ![]() |
| Dental care (for non-cosmetic purposes, including sealants) | ![]() |
| Dental co-insurance | ![]() |
| Dental co-payment | ![]() |
| Dental reconstruction (including implants) | ![]() |
| Dental veneers | ![]() |
| Dentures, bridges, etc. | ![]() |
| Diagnostic services (dental or vision) | ![]() |
| Eye drops and treatments (over-the-counter) | ![]() |
| Eye examinations | ![]() |
| Eye related equipment/materials | ![]() |
| Eye surgery or treatment to correct vision | ![]() |
| Eyeglasses (over-the-counter) | ![]() |
| Eyeglasses (prescription) | ![]() |
| Guide dog (dog, training, care) | ![]() |
| Laser eye surgery | ![]() |
| Lasik | ![]() |
| Occlusal guards to prevent teeth grinding | ![]() |
| Office visits (dental) | ![]() |
| Office visits (vision) | ![]() |
| Operations (for vision and dental only) | ![]() |
| Optometrist / ophthalmologist fees | ![]() |
| Ortho keratotomy | ![]() |
| Orthodontia (braces and retainers) | ![]() |
| Over-the-counter products for dental, oral and teething pain | ![]() |
| Over-the-counter vision products | ![]() |
| Sales tax, shipping and handling fees (for any eligible expense) | ![]() |
| Student health fees for dental services (billed for actual services received) | ![]() |
| Student health fees for vision services (billed for actual services received) | ![]() |
| Sunglasses (prescription) | ![]() |
| Teeth grinding prevention devices | ![]() |
| Toothache and teething pain reliever (over-the-counter) | ![]() |
| Transportation, parking and related travel expenses (essential to receive eligible care) | ![]() |
| Vision co-insurance | ![]() |
| Vision co-payment | ![]() |
| X-ray fees (dental) | ![]() |