Not Eligible
Prepayment of Medical Expenses
Expenses must first be incurred to be eligible so prepayment of medical expenses is typically not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). Check with your administrator for exceptions and details.
FSA
HSA
HRA
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Not Eligible
Preschool or Nursery School
The cost of a preschool or nursery school is only eligible for reimbursement with a dependent care flexible spending account (DCFSA). Preschool or nursery school reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Prescription Drug Discount Program
A fee to participate in a prescription drug discount program is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Prescription Drugs and Medicines
Prescription drugs and medicines are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Prescription drugs and medicines related to dental or vision conditions may be eligible with a limited purpose flexible spending account (LPFSA). Prescription drugs and medicines are not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Prescription drugs and medicines obtained from other countries
Prescription drugs and medicines obtained from other countries are eligible for reimbursement in certain situations with a prescription with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Prescription drugs and medicines obtained from other countries are not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Preventive Care
Preventive care is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), and limited purpose flexible spending account (LPFSA). Preventive care is not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Preventive Care Screenings
Preventive care screenings are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), and limited purpose flexible spending account (LPFSA). Preventive care screenings are not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Private hospital room
An additional cost for a private hospital room is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). An additional cost for a private hospital room is not eligible with a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Probiotics
Probiotics may be eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or health reimbursement arrangement (HRA). Probiotics are not eligible for reimbursement with limited-purpose flexible spending accounts (LPFSA) and dependent care flexible spending accounts (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Progesterone and Testosterone Hormones
Progesterone and testosterone treatments are eligible for reimbursement with a prescription with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA). Progesterone and testosterone treatments are not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Prosthesis
A prosthesis is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). A prosthesis is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Protective Face Mask to Prevent COVID-19
Protective face masks for the prevention of COVID-19 are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) and a health reimbursement arrangement (HRA). Protective face mask reimbursement is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Protein Bars / Powders / Shakes
Protein bars/powders/shakes reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Proton Pump Inhibitors
Proton pump inhibitors are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), and health reimbursement arrangement (HRA), provided the patient has a prescription. Proton pump inhibitors are not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Psychiatric care
Psychiatric care is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Psychiatric care is not eligible with a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Psychoanalysis
Psychoanalysis is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Psychoanalysis is not eligible with a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Psychologist
Costs of seeing a psychologist are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Costs of seeing a psychologist are not eligible with a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Pulse Oximeter
A pulse oximeter is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). A pulse oximeter is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
Not Eligible
Pumice Stone
Pumice stones are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Q-tips
Q-tips are generally used for overall good health and not for the diagnosis or prevention of a medical condition and therefore they're not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Radial Keratotomy
Radial keratotomy is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA), or a limited-purpose flexible spending account (LPFSA). Radial keratotomy is not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Radon Mitigation
If a medical professional recommends radon mitigation due to it causing a medical condition from being in a home, the cost of mitigation may be eligible with a Letter of Medical Necessity (LMN) and eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Radon mitigation reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Reading Glasses
Both prescription and nonprescription reading glasses are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) and a limited-purpose flexible spending account (LPFSA). Reading glasses reimbursement is not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
Eligible
Reasonable and Customary (R&C)
Amounts that exceed Reasonable and Customary (R&C) expenses are eligible for reimbursement with a flexible spending account (FSA), health savings accounts (HSA) or a health reimbursement arrangement (HRA). Reasonable and Customary (R&C) expenses reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Recliner Chairs
Recliner chairs are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement account (HRA), limited-purpose flexible spending account (FSA), or dependent care flexible spending account (DCFSA). In rare circumstances, a specialized recliner chair primarily used to mitigate a specific health condition may qualify with a Letter of Medical Necessity (LMN) from a medical professional.
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Reflexology
If used to treat a medical condition, the cost of reflexology may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Reflexology reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Rehabilitation Center
The cost of a rehabilitation center for the treatment of an addiction or a medical condition is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Rehabilitation center reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Rehydration solution
Rehydration solution is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Rehydration solution reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Rental Cars
A rental car necessary for transportation to or from a medical related appointment or stay (with the necessary documentation from a physician) is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Rental car reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Retainer
The cost of an orthodontic retainer is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) or a limited-purpose flexible spending account (LPFSA). Retainer reimbursement is not eligible with a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Rhinoplasty
Rhinoplasty may be eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and a health reimbursement arrangement (HRA). Rhinoplasty reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Rowing Machine
A rowing machine may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA). A rowing machine is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Rubbing Alcohol
Rubbing alcohol is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Rubbing alcohol is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Rubdowns
Rubdowns may be eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), with a letter of medical necessity (LMN) if used primarily to treat a medical condition. Rubdowns are not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Safety Glasses
Safety glasses are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Sales Tax
Sales Tax on medical items is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), and limited purpose flexible spending accounts (LPFSA- for dental and vision related expenses only). They are not eligible for reimbursement with dependent care flexible spending accounts (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Saline Nasal Spray
Saline nasal spray is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Saline nasal spray is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible
Sanitary Pads
Sanitary pads are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Sanitary pad reimbursement is not eligible with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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Not Eligible
Sanitizing Wipes for Surfaces to Prevent COVID-19
Sanitizing wipes for surfaces are typically not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). However, some plan administrators may choose to allow this as an eligible expense.
FSA
HSA
HRA
LPFSA
DCFSA
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Eligible with LMN
Sauna
A sauna may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA). A sauna is not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
FSA
HSA
HRA
LPFSA
DCFSA
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