Flexible Spending Accounts, Health Reimbursement Accounts- Employee Benefit Administrator

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Examples of Eligible and Ineligible FSA Expenses

Examples of Eligible FSA Expenses:

Section 213 of the Internal Revenue Code defines eligible health related expenses that may be reimbursed from your Medical FSA. However, refer to the Plan Document and Summary Plan Descriptions for exclusions and limitations under your Plan.

Contact lenses/supplies

Telephone equipment-hearing

Crutches

Dental Treatment

Equipment for hearing impaired †

Drug addiction rehabilitation expenses

Prescription Drugs †

Transportation for medical service †

Eyeglasses and eye exams

Laboratory fees

Lead-based paint removal †

Therapy

Learning disability tuition

Legal fees (mental illness) †

Stop smoking programs †

Lifetime care-retirement home †

Lodging for medical care †

Transplants-organs †

Medical information plan

Medical services

Medicines (includes insulin) †

Wheelchair †

Nursing home/Nursing services †

Orthodontics (Inquire. Special Rules Apply) †

Acupuncture

Oxygen

Alcoholism Treatment

Ambulance Fees

Organ Donors †

Artificial limbs

Artificial Teeth

Psychoanalysis/Psychologist

Birth Control Pills

Braille Books/Magazines †

Schools for mentally impaired †

Examples of Ineligible FSA Expenses:
This is a partial list of health care expenses that are not eligible for reimbursement from your Health Care Reimbursement Arrangement. Section 213 of the Internal Revenue Code defines eligible expenses.

Cosmetic Treatments

Cosmetic Prescriptions

Teeth Bleaching

Herbs and Vitamin Supplements

Insurance Premiums

Please be sure to consult with Medcom on limitations & conditions.