To move quickly alphabetically through the list, click on the
desired letter
below:
|
Standard FSA |
HSA-Compatible (or Limited) FSA |
|
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 (eligible)
|
Yes
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
Acne treatments (over-the-counter)
|
Yes
|
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
|
No
|
|
Allergy medication
|
Yes
|
No
|
|
Allergy treatments and products
|
Yes
|
No
|
|
Alternative dietary supplements (for treatment of a
medical condition)
|
Maybe
|
No
|
|
Alternative drugs, medicines and treatment products
(for treatment of a medical condition)
|
Maybe
|
No
|
|
Alternative healers (for treatment of a medical
condition)
|
Maybe
|
No
|
|
Ambulance and emergency health services
|
Yes
|
No
|
|
Anesthesia (for non-cosmetic purposes)
|
Yes
|
No
|
|
Antacid (over-the-counter)
|
Yes
|
No
|
|
Antibiotic ointment (over-the-counter)
|
Yes
|
No
|
|
Aspirin or other pain reliever (over-the-counter)
|
Yes
|
No
|
|
Asthma medicines or treatments (over-the-counter)
|
Yes
|
No
|
|
Athletic treatments / braces
|
Yes
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
Bandages and related items
(over-the-counter)
|
Yes
|
No
|
|
Birth control (over-the-counter)
|
Yes
|
No
|
|
Birth control (prescription or other)
|
Yes
|
No
|
|
Blood pressure monitor
|
Yes
|
No
|
|
Body scans
|
Yes
|
No
|
|
Braille books and magazines (difference in cost only)
|
Maybe
|
Maybe
|
|
Breastfeeding classes
|
No
|
No
|
|
Breast pump (to compensate for a medical condition)
|
Maybe
|
No
|
|
Breast reconstruction surgery (following mastectomy)
|
Maybe
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
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 insurance premiums
|
No
|
No
|
|
Canker & cold sore treatments (over-the-counter)
|
Yes
|
No
|
|
Car modifications (as required for a medical condition
diagnosed by a licensed health care professional)
|
Maybe
|
No
|
|
Chest rubs (over-the-counter)
|
Yes
|
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
|
No
|
|
Cold cream (over-the-counter)
|
No
|
No
|
|
Compression or anti-embolism socks, stockings or hose
|
Yes
|
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 and spermicides
|
Yes
|
No
|
|
Contact lenses, cleaning solutions, etc.
|
Yes
|
Yes
|
|
Contraceptives (prescription or over-the-counter)
|
Yes
|
No
|
|
Cord blood storage (for future treatment of a birth
defect or known medical condition)
|
Maybe
|
No
|
|
Cord blood storage (for unidentified future use)
|
No
|
No
|
|
Corn and callus remover (over-the-counter)
|
Yes
|
No
|
|
Corneal keratotomy
|
Yes
|
Yes
|
|
Cosmetic procedures or surgery
|
No
|
No
|
|
Cough drops & sore throat lozenges (over-the-counter)
|
Yes
|
No
|
|
Cough syrup (over-the-counter)
|
Yes
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
Dancing lessons (for treatment of a
medical condition)
|
Maybe
|
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
|
Maybe
|
Maybe
|
|
Dentures, bridges, etc.
|
Yes
|
Yes
|
|
Diabetic monitors, test kits, strips and supplies
|
Yes
|
No
|
|
Diagnostic services
|
Yes
|
No
|
|
Diaper rash ointments and creams
|
Yes
|
No
|
|
Diapers and diaper services
|
No
|
No
|
|
Dietary supplements (for treatment of a medical
condition)
|
Maybe
|
No
|
|
Doula or birthing coach
|
No
|
No
|
|
Drug addiction treatment
|
Yes
|
No
|
|
Drugs (experimental or imported)
|
No
|
No
|
|
Drugs (prescription)
|
Yes
|
No
|
|
Dyslexia treatment
|
Yes
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
Ear drops & wax removal
(over-the-counter)
|
Yes
|
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)
|
Maybe
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
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)
|
Maybe
|
No
|
|
Flu shots
|
Yes
|
No
|
|
Funeral expenses
|
No
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
Gastrointestinal medication
(over-the-counter)
|
Yes
|
No
|
|
Guide dog (dog, training, care)
|
Yes
|
Yes
|
| |
|
|
[Back to Top]
|
|
|
|
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)
|
Maybe
|
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)
|
No
|
No
|
|
Home improvements (as required for a medical condition
diagnosed by a licensed health care professional)
|
Maybe
|
No
|
|
Hospital insurance premiums
|
No
|
No
|
|
Hospital services and fees
|
Yes
|
No
|
|
Household help
|
No
|
No
|
|
Humidifier, air filter and supplies
|
Maybe
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
Laboratory fees
|
Yes
|
No
|
|
Lactose intolerance (over-the-counter)
|
Yes
|
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
|
No
|
|
Learning disability treatments
|
Yes
|
No
|
|
Lice treatment (over-the-counter)
|
Yes
|
No
|
|
Listening therapy
|
Yes
|
No
|
|
Lodging (essential to receive medical care)
|
Maybe
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
Magnetic therapy (over-the-counter)
|
No
|
No
|
|
Marriage counseling
|
No
|
No
|
|
Massage therapy (for treatment of a medical condition)
|
Maybe
|
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
|
No
|
|
Medicines (prescription)
|
Yes
|
No
|
|
Midwife
|
Yes
|
No
|
|
Mileage (for travel to / from eligible health care - $0.165 per documented mile for travel to/from eligible care effective 01/01/2010)
|
Yes
|
No
|
|
Modified equipment (difference in cost only)
|
Maybe
|
No
|
|
Monitors & test kits (over-the-counter)
|
Yes
|
No
|
|
Motion & nausea
|
Yes
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
Nasal sprays
|
Yes
|
No
|
|
Nasal strips (over-the-counter)
|
Yes
|
No
|
|
No show fees charged by health care provider
|
No
|
No
|
|
Non-prescription drugs and medicines (for non-cosmetic
purposes)
|
Yes
|
No
|
|
Norplant insertion or removal
|
Yes
|
No
|
|
Nursing services (wages and taxes)
|
Yes
|
No
|
|
Nutritional supplements (for treatment of a medical
condition)
|
Maybe
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
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
|
|
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)
|
Maybe
|
No
|
|
Over-the-counter acne treatments
|
Yes
|
No
|
|
Over-the-counter allergy & sinus medicine
|
Yes
|
No
|
|
Over-the-counter antacid
|
Yes
|
No
|
|
Over-the-counter antibiotic ointment
|
Yes
|
No
|
|
Over-the-counter aspirin or other pain reliever
|
Yes
|
No
|
|
Over-the-counter asthma medicines or treatments
|
Yes
|
No
|
|
Over-the-counter bandages and related items
|
Yes
|
No
|
|
Over-the-counter canker & cold sore treatments
|
Yes
|
No
|
|
Over-the-counter chest rubs
|
Yes
|
No
|
|
Over-the-counter cold & flu medicine
|
Yes
|
No
|
|
Over-the-counter cold & flu prevention
|
Yes
|
No
|
|
Over-the-counter cold cream
|
No
|
No
|
|
Over-the-counter cough drops & sore throat lozenges
|
Yes
|
No
|
|
Over-the-counter cough syrup
|
Yes
|
No
|
|
Over-the-counter (eligible medical)
|
Yes
|
No
|
|
Over-the-counter health care products (eligible)
|
Yes
|
No
|
|
Over-the-counter health care products (not eligible)
|
No
|
No
|
|
Over-the-counter medication (including for motion
sickness, sleep aids and sedatives)
|
Yes
|
No
|
|
Over-the-counter for dental, oral and teething pain
|
Yes
|
Yes
|
|
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
|
| |
|
|
[Back to Top]
|
|
|
|
Pain reliever (over-the-counter)
|
Yes
|
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)
|
Maybe
|
No
|
|
Prosthesis
|
Yes
|
No
|
|
Psychiatric care
|
Yes
|
No
|
|
Psychoanalysis
|
Yes
|
No
|
|
Psychologist fees
|
Yes
|
No
|
| |
|
|
[Back to Top]
|
|
|
|
Radial keratotomy (RK)
|
Yes
|
Yes
|
|
Reading glasses (over the counter)
|
Yes
|
Yes
|
|
Reconstructive surgery (following accident or medical
procedure or condition)
|
Maybe
|
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)
|
Maybe
|
No
|
|
Rogaine or other hair regrowth medications (even if
prescribed)
|
No
|
No
|
| |
|
|
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|
|
|
|
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
|
No
|
|
Special equipment
|
Maybe
|
No
|
|
Special foods (gluten-free, salt-free or other for
treatment of a medical condition; difference in cost only)
|
Maybe
|
No
|
|
Special school (for mental and physical disabilities)
|
Maybe
|
No
|
|
Speech therapy
|
Yes
|
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
|
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)
|
Maybe
|
No
|
| |
|
|
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|
|
|
|
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
|
Yes
|
|
Toothpaste, toothbrush, floss
|
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
|
| |
|
|
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|
|
|
|
Urological products
|
Yes
|
No
|
|
UV protection clothing
|
No
|
No
|
|
Vaccinations
|
Yes
|
No
|
| |
|
|
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|
|
|
Varicose vein removal surgery
|
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
|
| |
|
|
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|
|
|
|
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
|
No
|
|
Weight loss counseling
|
Maybe
|
No
|
|
Weight loss foods
|
No
|
No
|
|
Weight loss program (to improve or maintain general
health)
|
No
|
No
|
|
Weight loss program or drugs (for treatment of a
medical condition)
|
Maybe
|
No
|
|
Wheelchair and repairs
|
Yes
|
No
|
|
Wound care (over-the-counter)
|
Yes
|
No
|
| |
|
|
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|
|
|
|
X-ray fees (dental)
|
Yes
|
Yes
|
|
X-ray fees (medical)
|
Yes
|
No
|