QUALIFIED MEDICAL EXPENSEs - FSA and DCAP

Sample Eligible FSA Expenses

Though your specific plan may vary, the following are generally eligible for tax-free purchase with your FSA funds.

  • Acupuncture
  • Alcoholism treatment
  • Ambulance
  • Artificial limb
  • Automobile modifications for physically handicapped person
  • Birth control pills
  • Blood pressure monitoring device
  • Braille books & magazines (above the cost of regular printed material)
  • Chiropractic care
  • Christian Science practitioner
  • Contact lenses & related materials
  • Crutches
  • Dental treatment
  • Dentures
  • Diagnostic services
  • Drug addiction treatment
  • Eye examination
  • Eye glasses & related materials
  • Fertility treatment
  • Flu shot
  • Guide dog or other animal aide
  • Hearing aids
  • Hospital services
  • Immunization
  • Insulin
  • Laboratory fees
  • Laser eye surgery
  • Medical testing device
  • Nursing services
  • Obstetrical expenses
  • Organ transplant
  • Orthodontia (not for cosmetic reasons)
  • Over-the-counter medications (see separate list for details)
  • Oxygen
  • Physical exam
  • Physical therapy
  • Prescription drugs
  • Psychiatric care
  • Smoking cessation program
  • Surgery
  • Transportation for medical care
  • Weight loss program to treat obesity
  • Wheelchair

Sample Expenses that are NOT Eligible for FSA Funds

These items are never eligible for tax-free purchase with FSA funds.

  • Cosmetic surgery
  • Exercise equipment
  • Fitness programs
  • Funeral expenses
  • Hair transplants
  • Household help
  • Illegal operations and treatments
  • Insurance premiums
  • Maternity clothes
  • Teeth whitening
  • Vitamins

Sample Eligible Over-the-Counter FSA Expenses

Your FSA can also be used for some over-the-counter (OTC) medications. These OTC items are eligible for purchase with your FSA funds.

  • Acne medications
  • Allergy prevention/treatments
  • Anesthetic mouth gels and rinses
  • Antacids and acid reducers
  • Anti-itch creams
  • Antiseptics
  • Bandages and dressings
  • Cold and flu medicines
  • Cold sore remedies
  • Contact lens solutions
  • Decongestants
  • Eye drops
  • Eye patches
  • Oral pain relievers
  • Pain and fever relievers
  • Prenatal vitamins
  • Reading glasses
  • Sinus medications
  • Smoking cessation products
  • Sunburn creams/sun block
  • Wart and corn removers

The “Maybe” List

These products have more than one purpose and may be eligible if prescribed by a doctor for a specific condition or disease.

  • Fiber supplements
  • Herbal supplements
  • Orthopedic shoe inserts
  • Snoring cessation aids
  • Weight loss and dietary supplements

Sample Over-the-Counter Expenses that are NOT Eligible for FSA Funds

These OTC items are never eligible for tax-free purchase with FSA funds.

  • Cosmetics
  • Denture supplies
  • Deodorant
  • Moisturizers and wrinkle creams
  • Sun tan lotions
  • Toothpaste, toothbrushes and mouth wash
  • Tooth whitening products
  • Vitamins taken to improve overall health

Dependent Care Expenses that CAN Be Reimbursed Through a Dependent Care Assistance Program FSA (DCAP)

Please note: Expenses must be for dependent care provided during working hours.

  • Before school or after school care (other than tuition expenses)
  • Custodial care for dependent adults
  • Licensed day care centers
  • Nursery schools or pre-schools
  • Placement fees for a dependent care provider, such as an au pair
  • Care of an incapacitated adult who lives with you at least eight hours a day
  • Child care at a day camp, nursery school, or by a private sitter
  • Late pick-up fees due to work schedule
  • Summer or holiday day camps

Dependent Care Expenses that CAN NOT Be Reimbursed Through a DCAP

  • Expenses for children 13 and older
  • Educational expenses including kindergarten or private school tuition fees
  • Amounts paid for food, clothing, sports lessons, field trips and entertainment
  • Overnight camp expenses
  • Registration fees
  • Transportation expenses
  • Care for dependent while sick employee stays home
  • Late payment fees
  • Payment for services not yet provided (payment in advance)
  • Medical care

This is a summary of approved healthcare expenditures as legislated by the IRS. Please visit http://www.irs.gov/publications/p969/index.html for more information.

Glossary