Eligible Expenses
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Title | Description | Eligible | Additional Requirement | Account |
---|---|---|---|---|
Water Pik | No | Health Care FSA, HSA, Limited Scope FSA | ||
Warranties/Insurance on a Product | No | Health Care FSA, HSA, Limited Scope FSA | ||
Veneers | No | HSA, Limited Scope FSA | ||
UCR, Charges Above |
If underlying expense is eligible |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Toothpaste | No | Health Care FSA, HSA, Limited Scope FSA | ||
Toothbrushes | No | Health Care FSA, HSA, Limited Scope FSA | ||
Toothache/Teething Pain Relievers | Yes | RX | Health Care FSA, HSA, Limited Scope FSA | |
Toll bridges |
In connection with medical care received |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Teeth Whitening | No | Health Care FSA, HSA, Limited Scope FSA | ||
Taxi Fare |
In connection to medical care received |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Taxes on Dental Services and Products | Yes | Limited Scope FSA | ||
Subway Fare |
In connection with medical care received |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Shipping and Handling Fees | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Safety Glasses | Yes | RX | Health Care FSA, HSA, Limited Scope FSA | |
Reading Glasses | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Product Replacement Plans/Warranties | No | Health Care FSA, HSA, Limited Scope FSA | ||
Prescription Drugs/Medicines | Yes | RX | Health Care FSA, HSA, Limited Scope FSA | |
Parking Fees and Tolls |
Related to medical care received |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Orthodontia | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Oral Care Products |
e.g. Anbesol, Orajel |
Yes | RX | Health Care FSA, HSA, Limited Scope FSA |
Optometrist | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Operations | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Online or Telephone Consultation |
Medical practitioner's fee |
Yes | Health Care FSA, HSA, Limited Scope FSA | |
Occlusal guards | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Mouthwash | No | Health Care FSA, HSA, Limited Scope FSA | ||
Missed Appointment Fees | No | Health Care FSA, HSA, Limited Scope FSA | ||
Late Payment Fees | No | Dependent Care FSA, Health Care FSA, HSA, Limited Scope FSA | ||
Late Fees | No | Dependent Care FSA, Health Care FSA, HSA, Limited Scope FSA | ||
Laser Eye Surgery; Lasik | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Lab Fees | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Illegal Operations and Treatments | No | Health Care FSA, HSA, Limited Scope FSA | ||
Glasses | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Flouride Rise | Yes | RX | Health Care FSA, HSA, Limited Scope FSA | |
Finance Charges | No | Health Care FSA, HSA, Limited Scope FSA | ||
Eye Examinations, Eyeglasses, Equipment, Materials, and Repair | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Eye Drops | Yes | RX | Health Care FSA, HSA, Limited Scope FSA | |
Discount Programs | No | Health Care FSA, HSA, Limited Scope FSA | ||
Diet Foods | No | Health Care FSA, HSA, Limited Scope FSA | ||
Dentures and Denture Adhesives | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Denture Cleaners | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Denture Brush | No | Health Care FSA, HSA, Limited Scope FSA | ||
Dental X-Ray Fees | Yes | Limited Scope FSA | ||
Dental Treatment | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Dental Sealants | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Dental Records Charges | Yes | Limited Scope FSA | ||
Dental Implants | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Dental Floss | No | Health Care FSA, HSA, Limited Scope FSA | ||
Dental Care, cosmetic | No | Health Care FSA, HSA, Limited Scope FSA | ||
Deductibles | Yes | Health Care FSA, HSA, Limited Scope FSA | ||
Crowns, Dental | Yes | Health Care FSA, HSA, Limited Scope FSA |
Note: Due to frequent IRS updates to the regulations governing FSAs and HSAs, this list is to be utilized only as a general guide for the submission of claims. Please refer to your employer's Summary Plan Description (SPD) for your specific plan details.