Flexible spending reimbursement account

PARTIAL LIST OF ELIGIBLE EXPENSES
Medical care expenses include amounts paid for the diagnosis, cure, treatment, or prevention of disease and for treatments affecting any part or function of the body. The expenses must be to alleviate or prevent a physical defect or illness. (Expenses for solely cosmetic reasons generally are not expenses for medical care nor are expenses that are merely beneficial to one's general health, such as vacations.) In general, if the expense would qualify as a deduction on your federal income tax return, it is eligible for reimbursement under this plan. For a listing of eligible medical expenses please see United States Code 26or Note:
While insurance premiums are included in Publication 502, they are NOT reimbursable expenses for FSA purposes.
Insurance premiums, including those for Long-Term Care and Temporary Continuation of Coverage, are not eligible for
reimbursement. Also charges must be incurred within the Plan Year – not just paid, to be considered eligible.
Eligible Expenses Include:
* Some of these items may be considered reimbursable with a prescription from a Physician to treat a specific illness, injury or disease and
not to treat general health. + These items are not eligible under all plans.
*Learning Disability – Special Schools & Tutoring Nursing Home – only if Medically Necessary Orthodontia - contact your administrator for specific Over the Counter Medications – Excluding Vitamins and Prescription Drugs/Medicines Prescribed by a Doctor Home Care – only if considered Nursing Services Examples of
Over-the-Counter Medical Expense Reimbursements
Through Healthcare FSAs
IRS Rev. Rul. 2003 - 102, September 3, 2003
The below list is not intended to be all-inclusive, but is rather to answer frequently asked questions. This list is subject to changeper IRS rulings or interpretation changes. Reimbursable Expenses relating to Medical Care
Medical Care
Eligible for Reimbursement
Allergy Relief, such as oral medications, nasal sprays and patchesAnalgesics, such as Fever and Pain Reducers like Aspirin, Tylenol, IbuprofenAntacids and Heartburn Relief, such as Alka-Seltzer, Mylanta, and Milk of MagnesiaAntibiotic ointmentsAnti-itch and hydrocortisone creamsArthritis Pain Relieving CreamsAthlete's Foot treatment, such as nail and foot anti-fungal creamsCholesterol test equipmentCold medicines, such as tablets, syrups, drops and lozengesDiabetes related equipment, such as a glucose monitorEye care, such as contacts, saline solution and lubricant eye dropsEye patchesFamily Planning, such as pregnancy tests, condoms (not eligible under all plans)Feminine care relating to treatment of vaginal infectionsFirst Aid, such as heat wraps, compresses, bandages, tape, gauze dressing, adhesive pads, and pain relieving creamsIncontinence Products, such as Depends and Serenity padsJoint Support Bandages and Hosiery, such as knee supports, elbow supportsLaxativesMotion Sickness, such as Dramamine, patches, braceletsShampoo treatments relating to the treatment of psoriasis and liceSmoking Cessation products, such as patches and gumStomach & Digestive Relief, such as Pepto-Bismol, Imodium, Colace and LactaidTooth and Mouth Pain Relief, such as Orajel and AnbesolUrinary Pain ReliefVaporizers and humidifiersWart removal medication Not Reimbursable Expenses Relating primarily to Good Health
Merely Beneficial to Good Health
Exceptions
Not Eligible for Reimbursement
(These are considered eligible for reimbursement
as they relate primarily to medical care.)
Personal Hygiene, such as deodorant, soap, body powder, shaving cream and razors, feminine care and sanitary products Cosmetics, such as makeup, lipstick, Q-tips, cotton balls, baby oil Skin care, such as sun block, skin and body moisturizing lotion, lip balm, acne Hair care, such as hair color, shampoo, conditioner, brushes and hair loss products like Rogaine Routine Dental care, such as toothpaste, toothbrushes, dental floss, anti-bacterial mouthwash and fluoride rinses, teeth whitening products Denture Care, such as denture cleansers and denture adhesive creams Nail care & personal grooming, such as scissors, nail files Vitamins prescribed by a doctor. Physician statement required.
Nutritional and Dietary Supplements, such as bars, milkshakes, power Supplements prescribed by a doctor. Physician statement Weight reduction products prescribed by a doctor. Physician Weight Reduction aids, such as Slimfast & appetite suppressants

Source: http://custombenefit.net/downloads/Eligible+Medical+&+OTC+expenses.pdf