Page 62 - Touching All the Bases- Power point 2023 v2_Neat

0 2 What are Eligible Expenses?

The type of FSA you choose will determine what you can buy with the funds. Below are sample lists of potential
eligible expenses under each account. Refer to your plan highlights to verify whether an expense is eligible.

T Y P E S O F E L I G I B L E E X P E N S E S
• Medical FSA eligible expenses are qualified medical products and services and over-the-counter (OTC) drugs
and medicines (including dental and vision).
• Limited Purpose FSA eligible expenses are qualified dental and vision expenses.
• Dependent Care FSA eligible expenses are qualified child day care, nursery school and/or adult day care expenses.

Always check your plan highlights to verify if an item is eligible under your plan. To determine if an OTC drug or medicine
requires a prescription, or to search for more eligible items, visit BenefitResource.com/eligibilitylist.

M E D I C A L F S A • Laser eye surgery, LASIK
• Lodging at hospital or similar institution
E X P E N S E S • Mastectomy-related special bras O T C I T E M S
• Medical alert bracelet or necklace
• Adult incontinence products
A - G • Medical information plan charges
• Medical monitoring and testing devices • Birth control products (e.g. prophylactics)
• Acupuncture (e.g. blood-sugar test kits) (if allowed by your plan)
• Alcoholism treatment • Medical practitioner’s fee for online or • Dentures and denture adhesives
• Allergy treatments (if prescribed) telephone consultation • First aid kits and supplies (e.g. bandages)
• Ambulance • Medical records charges • Health monitors (e.g. blood pressure,
• Asthma devices and medicines • Midwife cholesterol, HIV)
(if prescribed) • Obstetrical expenses • Heat wraps
• Bandages • Occlusal guards to prevent teeth grinding • Heating pads, hot water bottles
• Body scans • Operations/surgeries • Medicine dropper/spoon
• Braille books and magazines • Optometrist • Motion sickness devices
• Breast pumps • Organ donors • Supports/braces (e.g. ankle, knee,
• Breast reconstruction surgery following • Orthopedic shoe inserts wrist, therapeutic glove)
mastectomy • Osteopath fees
• Cancer screenings • Ovulation monitor
• Carpal tunnel wrist supports
• Oxygen
• Chiropractors
• Physical exams
• Circumcision L I M I T E D P U R P O S E
• Physical therapy
• Coinsurance amounts • Pregnancy test kits
• Copayments • Prescription drugs and medicines, F S A E X P E N S E S
• Counseling, when used to treat diagnosed for the purpose of medical care
medical condition (not general health or cosmetic purposes) • Correction procedures
• C PAP (continuous positive airway • Preventive care screenings • Dental services and procedures
pressure) devices • Prosthesis and artificial limbs • Eye examinations
• Crutches • Eyeglasses
• Psychiatric care
• Dental sealants • Fluoridation services
• Dental services and procedures • Laser eye surgery, LASIK
• Diabetic supplies and insulin • Orthodontia
• Diagnostic items/services R - Z • Vision materials (e.g. contact solution)
• Drug addiction treatment • Radial keratotomy
• Drug overdose, treatment of • Rehydration solution
• Durable medical equipment • Screening tests (including cancer screening)
• Eye examinations, eyeglasses, vision materials • Sleep-deprivation treatment
(e.g. contact solution), correction procedures
• Speech therapy D E P E N D E N T C A R E
• Flu shots
• Stop-smoking programs
• Fluoridation services F S A E X P E N S E S
• Transplants
• Guide dog
• Transportation expenses for person • Before/after school care
to receive medical care
H - Q • Child care
• Vaccines and immunizations
• Hearing aids and equipment for hearing- • Walkers/Wheelchair • In-home dependent care
impaired persons • X-ray fees • Day care facility
• Hospital services • Nursery school
• Adult care
• Laboratory fees
• Lactation consultant