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Flexible Spending Account: Eligible Expenses

Which expenses can be reimbursed by an FSA?

Your Health Care Reimbursement Flexible Spending Account lets you pay for medical care expenses not covered by your insurance plan with pre-tax dollars. The expenses must be primarily to alleviate a physical or mental defect or illness, and be adequately substantiated by a medical practitioner. The products and services listed below are examples of medical expenses eligible for payment under your FSA, to the extent that such services are not covered by your medical and dental insurance plan.

Unfortunately, we cannot provide a definitive list of "qualified medical expenses." A determination of whether an expense is for "medical care" is based on all the relevant facts and circumstances. To be an expense for medical care, the expense has to be primarily for the prevention or alleviation of a physical or mental defect or illness. 

Under a rule that went into effect January 1, 2011, claims for over-the-counter medicine or drug expenses (other than insulin) cannot be reimbursed without a prescription. This rule does not apply to items for medical care that are not medicines or drugs. 

  • Abortion
  • Acupuncture
  • Alcoholism treatment
  • Ambulance
  • Annual physical examination
  • Artificial limb 
  • Artificial teeth 
  • Bandages
  • Birth control pills
  • Body scan 
  • Braille books and magazines
  • Breast pumps and supplies 
  • Breast reconstruction surgery 
  • Capital expenses (improvements or special equipment installed to a home, if meant to accommodate a disabled condition)
  • Car modifications or special equipment installed for a person with a disability
  • Chiropractor 
  • Christian Science practitioner
  • Contact lenses
  • Crutches
  • Dental treatment (not including teeth whitening)
  • Diagnostic devices 
  • Disabled dependent care expenses
  • Drug addiction treatment 
  • Eye exam 
  • Eye glasses
  • Eye surgery 
  • Fertility enhancement (in vitro fertilization or surgery) 
  • Guide dog or other service animal 
  • Health institute fees (if treatment is prescribed by a physician)
  • Intellectually or developmentally disabled care, treatment or special home
  • Laboratory fees
  • Lactation expenses
  • Lead-based paint removal (if a child in the home has lead poisoning)
  • Learning disability care or treatment
  • Legal fees associated with medical treatment 
  • Lifetime care, advance payments or "founder's fee" 
  • Lodging at a hospital or similar institution
  • Long-term care
  • Medical conference expenses, if the conference concerns a chronic illness of yourself, your spouse or your dependent
  • Medical information plan
  • Medications, if prescribed
  • Nursing home fees 
  • Nursing services
  • Operations
  • Optometrist
  • Organ donors
  • Osteopath
  • Oxygen
  • Physical examination
  • Pregnancy test kit
  • Prosthesis
  • Psychiatric care
  • Psychoanalysis
  • Psychologist
  • Special education
  • Sterilization
  • Stop-smoking programs
  • Surgery
  • Special telephone for hearing-impaired individual
  • Television for hearing-impaired individuals
  • Therapy received as medical treatment
  • Transplants
  • Transportation for medical care
  • Tuition for special education
  • Vasectomy
  • Vision correction surgery
  • Weight-loss program if it is a treatment for a specific disease
  • Wheelchair
  • Wig 
  • X-ray

Caution: plans that do not allow reimbursement of all eligible medical expenses as defined by the IRS and Department of Treasury may vary.  Please contact your employer or insurance provider for more details.

TrueNorth's Employee Benefits Division is here to help. 

TrueNorth offers businesses of every size comprehensive solutions to meet their business needs and those of their employees.  If you are in need of business solutions or are looking to start a business of your own, please call TrueNorth.  Our Employee Benefits division would be happy to assist you in providing for the well-being of both you and your staff.  Call us today at 1-800-798-4080.

Source: http://www.irs.gov/publications/p502/ar02.html

 

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