Eligible expenses for fsa unreimbursed medical limitation on qualified expenses. Eligible expenses for your wageworks healthcare flexible. Medical fsa and hsa expense eligibility list optum. Transportation that is primarily for medical care is also included.
Any expenses that are listed as potentially eligible may require additional documentation, such as a letter of medical necessity pdf, a prescription or an explanation of benefits, to be approved. An employer may limit what expenses are eligible under an hra plan. Cosmetic surgery and procedures including teeth whitening. The expenses associated with the adoption of a child are not eligible for reimbursement with a flexible spending account fsa, health savings account hsa, health reimbursement arrangement hra, limited care flexible spending account lcfsa or dependent care flexible spending account dcfsa. The irs may request itemized receipts to verify the eligibility of your expenses. You can deduct on schedule a form 1040 or 1040sr only the part of your medical and dental expenses that is more than 7. Be for products or services that treat a medical condition b. You will not need a prescription for insulin and diabetic supplies.
Fsa eligible expenses what are some fsa eligible items. To learn more about eligible fsa expenses under your specific plan, please refer to your. Charges for daycare services outside your home for a qualifying child who is under the age of and who depends on you and your spouse, if you are married for at least half of. The following expenses are not eligible under a health care fsa. There are two of fsas available to you a health care fsa and a dependent care fsa. A health fsa may receive contributions from an eligible. Acupressure is an eligible expense when required for treatment of a medical condition. Eligible flexible spending account expense examples there are hundreds of eligible expenses for your fsa funds, including prescriptions, some overthecounter items, health insurance deductibles, and coinsurance. Eligible expenses expense description expense eligibility required documentation processing notes agency fees potentially standard agency fees may be employment. Items that are not eligible for reimbursement under a health care spending account. Fsa eligible expenses healthcare expenses eligible for reimbursement. The irs determines which expenses can be reimbursed by an fsa.
Health fsa expenses a summary of eligible and ineligible expenses. Your benefitwallet health care flexible spending account fsa is one of the most powerful savings accounts in america allowing you to save up to 35% in taxes on every dollar you contribute 1. Eligible and ineligible expenses starting january 1, 2011, you will not be able to use these spending accounts to pay for most over. Please save your receipts and other supporting documentation related to your hc fsa expenses and claims. Overthecounter otc products that require a prescription must include an adequate receipt and a. Flexsystem fsa healthcare overthecounter otc medicines and drugs, except for insulin, require a prescription from your physician to be reimbursed from your healthcare fsa.
Important note about overthecounter otc drug reimbursement. Eligible expenses seeking reimbursement for expenses to be eligible for reimbursement, they must. Eligible expenses are subject to change based on irs guidance. Books boutique practice fees cobra premiums college insurance cpr classes electrolysislaser hair removal face lift finance charges funeral expenses gym membership. You can view a comprehensive list of eligible expenses by logging into your wageworks account.
Vision expenses such as exams, glasses, frames, contact lenses, supplies or. An fsa is an account you set up to prefund your anticipated eligible medical services, medical supplies, and dependent care expenses that are normally not covered by your insurance. Use these tables to determine which products and services are considered qualified medical expenses under irs rule and what supplementary documentation you may need to provide for your expenses or retain in case of an audit. Travel expenses expense eligibility is subject to change.
Health care expense claim form flexible spending account please note. Rxmn eligible for reimbursement with a doctors noteprescription for products or a medical necessity form for services. Overthecounter medicines and drugs may only be eligible for fsa reimbursement if you have a valid prescription. You can choose from unreimbursed medical expense fsa, dependent care fsa, or have one of each. For purposes of a dependent care fsa plan, a qualified dependent must be under the age of, unless mentally or physically handicapped.
A health fsa may receive contributions from an eligible individual. Baby formula breast implants cosmetic burial expenses cobra premiums. You can use your health care fsa or hra to reimburse yourself for medical and dental expenses that qualify as federal income tax deductions whether or not. Typically, eligible health care expenses are expenses incurred for medical care.
Eligible health fsa expenses are those you pay for out of your pocket for medical care. The total amount of all qualified expenses paid may not exceed the maximum allowed under the plan. Limited purpose lp fsa eligible expense list important. Your plan may restrict the reimbursement of one or more of these items. When you spend your fsa funds on qualified expenses, you are never taxed. Benefits eligible hsa and fsa expenses eligible expenses guide. The health care fsa can cover a wide variety of expenses. Unfortunately, we cannot provide a definitive list of qualified medical expenses. You can use your fsa funds to pay for a variety of expenses for you, your spouse, and your dependents. If you have any questions, you can always find us online. Medical fsa and hsa expense eligibility list updated 0721 2015 skin drugs or medicines that must be prescribed in order to qualify.
Eligible flexible spending account expense examples. There are thousands of eligible expenses for taxfree purchase with a health savings. In general, deductions allowed for medical expenses on your federal income tax according to internal. Please save your receipts and other supporting documentation related to your hc. To find out which expenses are covered by fsafeds, select the account type you have from the list below. This document provides a general overview and is not. Sample expenses eligible for reimbursement section 125 flexible benefit plan the following is a partial list of medical expenses allowable for reimbursement through your section 125 flexible benefits plan. If you have an fsa, you can access the full amount of your annual contribution on the first day of the plan year. Eligible expenses for fsa unreimbursed medical limitation on qualified expenses your plan may restrict the reimbursement of one or more of these items. Most major grocery, department, retail and drug stores can identify at the cash register what supplies are eligible for reimbursement.
Many overthecounter otc treatments are also eligible, though keep in mind that many require a prescription. If you have questions on what constitutes an lp fsa eligible expense, please contact our customer relations. Eligible expenses in an hra will vary depending on plan design. Under no circumstances will the following items be reimbursed. An important note about purchasing fsa eligible items. Learn which health products and expenses are covered by your flexible spending account fsa. The prescription will need to be included with each otc medicine or drug claim request submitted. Eligible expenses are defined by irs rules and your employers plan. Typical fsaeligible expenses use your fsa to save on hundreds of. Fsa eligible expenses for the medical reimbursement health insurance deductible copays for medical expenses dental insurance deductible dental expenses such as exams, cleanings, fillings caps, crowns, braces, bridges, xrays, etc. If you have questions on what constitutes an fsa eligible expense, please contact our customer relations team. Health fsa money in the fsa can be used to reimburse yourself for medical and dental expenses incurred by you, your spouse or eligible dependents children, siblings, parents and other dependents as defined in your plan documents. Expenses eligible for reimbursement in the dependent care fsa.
Fsa eligible expenses and other important information. Fsa eligible expenses eligible expense examples there are hundreds of eligible expenses for taxfree purchase with your account funds, including prescriptions, doctors office copays, health insurance deductibles, and coinsurance. Flexible spending account fsa funds can be used for hundreds of eligible expenses including some health. You can only use funds up to the current balance in your account. Eligible expenses under a dependent care fsa are defined as those that enable the participant or the participants spouse to work or to look for work. If you have both a health savings account hsa and an fsa, your fsa is limited to only vision and dental expenses. Medical expenses that can be reimbursed through your medical spending account include services and supplies incurred by you or your eligible dependents for the diagnosis, treatment or prevention of disease or for the amounts you pay for transportation to get medical care. Please note that preferred administrators cannot provide. Bandaid, curad batteries potentially will only qualify if used to operate a device that is itself a qualified expense e. Fsa funds may even be used for eligible expenses for.
Generally, irs rules state that medical care is meant to diagnose, cure, mitigate, treat, or prevent illness or disease. An lp fsa covers eligible dental and vision expenses only and is intended for employees enrolled in the high deductible health plan with health savings account hsa. Flexible spending accounts examples of eligible and. You can use your health care fsa or hra to reimburse yourself for medical and dental expenses that qualify as federal income tax deductions whether or not they exceed the irs minimum applied to those deductions under section 2d of.
Reimbursement is for expenses incurred within your plan year. You can use your account to pay for a variety of healthcare products and services for you, your spouse, and your dependents. See the last page for rules regarding documentation. To learn more about eligible fsa expenses under your specific plan, please. Due to health care reform regulations, the health care fsa only reimburses otc drug expenses if you have and provide a doctors prescription for them. Acupuncture is not eligible for reimbursement with a limited care flexible spending account lcfsa or a dependent care flexible spending account dcfsa. The internal revenue service irs decides which expenses can be paid from an fsa and can change the list at any time. A flexible spending account fsa lets you set aside money from your paycheck on a pretax basis to use for eligible outofpocket expenses. Medical expenses in excess of your plans usual, customary and reasonable charges are eligible for reimbursement with a flexible spending account fsa, health savings account hsa, or a health reimbursement arrangement hra if the underlying expenses qualify. Irs publication 502 states medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and the costs for treatments affecting any part or function of the body. Health fsa eligible expenses visit for an expanded list of eligible expenses.
The irs publishes information on fsas and eligible expenses. Be adequately substantiated prior to any runout period imposed by the plan. June 30, 2015 or last day of your coverage period last day to submit reimbursement requests and. Complete list of eligible expenses health and dependent care fsa. The following is a summary of common expenses claimed against medical flexible. Fsa eligible expenses for the medical reimbursement. It is an account that provides pretax reimbursement for your eligible.
Doctors prescriptions must include the patient name, medication name, dosage. Flexible spending account fsa sourcebook 2014 2015. Acupuncture is an eligible expense that may require a letter of medical necessity lmn for reimbursement with a flexible spending account fsa, health savings account hsa or health reimbursement arrangement hra. Where a physicians note is required, it must state the precise medical condition. Have been incurred by you, your spouse or your eligible dependent c. View your account information at common fsa eligibleineligible expenses common overthecounter otc medicines requiring a prescription overthecounter otc medicines and drugs may only be eligible for fsa reimbursement if you have a valid prescription. Some examples are prescription drug copays, office visit copays, planned dental work, eyeglasses, or contact lenses. Flexible spending account fsa sourcebook 2014 2015 plan year. The irs determines which expenses are eligible for reimbursement.
In general, reimbursable expenses are those that result from. Participant education eligible and ineligible expenses for fsa expenses that qualify for reimbursement from flexsystem total administrative services corporation 2302 international lane i madison, wi 537043140 fx4248120115. Expenses that qualify for reimbursement from flexsystem. Medical expenses include dental expenses, and in this publication the term medical expenses is often used to refer to medical and dental expenses. Distributions from a medicare advantage msa that are used to pay qualified medical expenses arent taxed. Health care flexible spending account fsa eligible.
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