The following is a summary of common expenses claimed against Medical Flexible Spending Account (FSAs), Dependent Care Accounts (DCAs) and Health Savings Accounts (HSAs).
Due to frequent updates to the regulations governing FSAs, DCAs and HSAs, this list does not guarantee reimbursement, but instead is to be utilized as a guide for the submission of claims.
Yes: The expense is eligible for reimbursement.
No: The expense is not eligible for reimbursement under any circumstance.
Dual-Purpose: The expense may be eligible for reimbursement if a Medical Necessity letter or signed doctor’s note is provided to Discovery Benefits. The expense must be used to treat a medical condition.
Potentially: The expense may be eligible for reimbursement provided certain conditions or criteria (as specified in the Comments and Special Rules section) are satisfied.
Rx: The expense is eligible for reimbursement once a doctor’s prescription has been obtained prior to purchase. The purchase must be at a drug store, pharmacy, non-healthcare merchant that has a pharmacy (Target, Walgreens, etc.) or mail/web based vendors that sell prescription drugs.
|Type of Expense
|AA meetings, transportation to||Yes||Medical FSA, HSA||--|
|Acne treatment||Rx||Medical FSA, HSA||Products for the treatment of acne only, regular skin care products do not qualify. Examples: Skin ID, Proactiv and anything that primarily treats acne.|
|Acupressure||Dual-Purpose||Medical FSA, HSA||--|
|Acupuncture||Yes||Medical FSA, HSA||--|
|Adaptive equipment||Rx||Medical FSA, HSA||To qualify, the item must be used to relieve or alleviate sickness or disability. Depending on the nature of the item, only amounts above the cost of the regular version of the item will qualify. Includes various items that assist individuals in performing activities of daily living (e.g., feeding, bathing). See also Capital expenses; Home improvements.|
|Adoption, pre-adoption medical expenses||Yes||Medical FSA, HSA||Medical expenses incurred before an adoption is finalized will qualify if the child qualifies as your tax dependent when the services/items are provided.|
|Adult daycare||Potentially||Dependent Care FSA||Will qualify only if (1) such expenses are not for medical services; (2) the elderly person is a qualifying individual; and (3) in the case of services provided outside the employee?s household, the person still regularly spends at least eight hours each day in the employee?s household. Elder daycare will often qualify, but around-the-clock care in a nursing home will not. Note that long-term care insurance will not qualify.|
|After-school care or extended day programs (supervised activities after school)||Potentially||Dependent Care FSA||Will qualify if used to enable the employee and spouse to be gainfully employed. Programs that are generally educational in nature (e.g., tuition) will not qualify.|
|Agency fee||Potentially||Dependent Care FSA||Will qualify if it is an expense that must be paid in order to obtain the related care. However, the fee cannot be reimbursed until care is provided. Fees that are forfeited (e.g., because the employee selects a different provider) will not qualify.|
|Air purifier||Rx||Medical FSA, HSA||Special rules may apply. See also Capital expenses.|