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Eligible Expenses Below is a list of expenses eligible for reimbursement through these types of Flexible Spending Accounts (FSA):

• Medical Reimbursement Accounts
• Dependent Care Reimbursement Accounts
• Premium-Only Plan

Medical Reimbursement Accounts
Any expense that’s considered a deductible medical expense by the Internal Revenue Service and isn’t paid for by your insurance can be reimbursed through your FSA. Examples include:

• Fees paid to doctors, dentists, surgeons, chiropractors, and mental health providers
• Fees for hospital services, X-rays, and labs
• Health plan copayments and deductibles
• Prescription drugs or drug copays
• Acupuncture treatments
• Inpatient treatment at a center for alcohol or drug addiction
• Smoking-cessation programs and drugs prescribed to help nicotine withdrawal
• Birth control
• Non-elective cosmetic surgery
• Contact lenses and eyeglasses
• Orthodontia
• Over-the-counter (OTC) items 
  Note: Some over-the-counter items can be used either for medical purposes or for general health/cosmetic purposes. Dual-purpose items may be reimbursable if they are used strictly for medicinal purposes. 

Dependent Care Reimbursement Account
Any expense that’s considered a deductible dependent care expense by the Internal Revenue Service can be reimbursed through your FSA. Examples include:

• Daycare expenses for children under age 13
• Before and after school care for children under age 13
• Adult daycare expenses for a disabled spouse or IRS tax dependent
• Daycare deposits and registration fees are reimbursable after the child starts attending the daycare
• Summer day camps for children under age 13 (includes educational and recreational programs)
• Transportation furnished by daycare providers

Some dependent care expenses do not qualify for reimbursement:

• Payments to a spouse or parent of a qualified individual
• Educational fees/tuition
• Overnight camps
• Care not related to work
• Transportation furnished by parents

Premium Only Plan
Qualified, non-taxable insurance premiums and health plan dues that can be converted to pre-tax expenses include:

• Health
• Dental
• Vision
• Group term life/AD&D
• Short- and long-term disability*
• HSA contributions

*There may be income tax considerations at the time of claim. Consult your tax advisor.