Flexible Spending Account Sample Eligible Expenses for Spending Account Reimbursements• Acupuncture• Alcoholism treatment• Ambulance hire• Artificial teeth/dentures• Bandages• Blood pressure monitors• Braces• Braille-books and magazines• Breast pumps and lactation supplies• Cancer screening• Chiropractors• Co-insurance amount you pay• Co-pay amount you pay• Condoms• Contact lenses and eyeglasses• Contact lens solutions• Cold/Hot Packs• Cost of operations and related treatments• Crutches• Deductible medical coverage (amounts you pay)• Dental fees• Diabetic supplies• Drug addiction treatment• Eye exams, eye glasses, eye surgery• Fertility treatments (in vitro fertilization, surgery)• Guide dog/service animal (including purchase, maintenance)• Intellectually/developmentally disabled person’s school and education (i.e., payments made for a mentally impaired or physically disabled person to attend a special school including tuition, meals and lodging)• Hearing devices and batteries• Hospital services• Incontinence products• Insulin• Laboratory fees• Lead-base paint removal (for children with lead poisoning)• Medical alert bracelets• Medical information plan• Mentally handicapped persons cost of special home care• Nurses fees (including nurses’ board and social security tax paid by you)• Obstetrical expenses• Operations• Oxygen• Prosthesis• Pregnancy tests• Psychiatrists’ and psychologists’ fees• Radial keratotomy and Lasik eye surgery• Rolfing therapy• Routine physical & other non diagnostic services or treatments• Smoking cessation programs• Speech Therapy• Special education for the blind• Special plumbing for handicapped• Sterilization (i.e., tubal ligation, vasectomy)• Surgical fees• Telephone, special for hearing impaired• Television audio display equipment for hearing impaired• Therapeutic care for drug and alcohol addiction received as medical treatment• Thermometers• Transportation expenses for person to receive medical care• Vaccines• Walkers• Wheelchair• X-raysEligible Expenses Only with a Prescription or Letter of Medical Necessity• Analgesics, fever reducers, pain reducers (aspirin, ibuprofen, acetaminophen)• Antacids and heartburn relief• Antibiotic ointments• Anti-itch creams and hydrocortisone creams• Allergy medication, nasal sprays• Arthritis pain relieving creams• Athlete’s foot treatment, anti-fungal creams• Birth control• Chondroitin• Cold medicines, tablets, syrups, cough drops & lozenges• Compression HoseEligible Health FSA Expenses• Diaper rash ointment• Dietary supplements• Doula• Ear wax removal kits• Eczema treatments• Exercise programs or equipment• Fiber supplements• First-aid cream• Glucosamine• Hemorrhoid treatments• Humidifier• Hypnosis• Infertility treatments• Lactose intolerance tablets• Lamaze classes• Latex gloves• Laxatives• Massage therapy• Menstrual pain relievers• Mineral supplements• Motion sickness pills• Nasal spray and strips• Nicotine gum, patches• Occupational therapy• Orthopedic shoe inserts• Over-the-counter medications• Petroleum jelly• Prenatal vitamins• Rogaine®• Scooter, electric• Sinus medication • Stomach & Digestive relief items• Sunburn cream (Solarcaine)• Toothache and teething pain relievers• Umbilical cord blood storage• Urinary pain relief medication• Varicose vein, treatment of• Vitamins• Wart removal medication• Yeast infection medicationNever Eligible• Cosmetic products• Disposable diapers• Diet program foods• Electrolysis• Feminine hygiene products• Hand sanitizer• Toothbrushes
