FSA Sample Eligible Expense List

Expense eligibility is subject to change. If you are unsure if an expense is eligible for reimbursement, please call P&A Group at 1-800-688-2611 or chat with a Participant Support Specialist through online webchat at www.padmin.com (opens in a new window).

Eligible Health FSA Expenses

• Acupuncture
• Alcoholism treatment
• Allergy medication, nasal sprays
• Ambulance
• Analgesics, fever reducers, pain reducers (aspirin, ibuprofen, acetaminophen)
• Antacids and heartburn relief
• Antibiotic ointments
• Anti-itch creams and hydrocortisone creams
• Arthritis pain relieving creams
• Athlete’s foot treatment, anti-fungal creams
• At-home COVID-19 tests
• Artificial teeth/dentures
• Bandages
• Birth control - only eligible with a prescription
• Blood pressure monitors
• Braces
• Braille-books and magazines
• Breast pumps and lactation supplies
• Cancer screening
• Chiropractors
• Chondroitin
• Co-insurance amount you pay
• Cold/hot packs
• Cold medicines, tablets, syrups, cough drops & lozenges
• Co-pay amount you pay
• Compression hose (30-40 mmHg or higher)
• Condoms
• Contact lenses and eyeglasses
• Contact lens solutions
• Cost of medically necessary operations and related treatments
• Crutches

• Deductible medical coverage (amounts you pay)
• Dental fees
• Diabetic supplies
• Diaper rash ointment
• Drug addiction treatment
• Ear wax removal kits
• Eye exams, eye surgery
• Eye glasses (protection plans/warranties are NOT eligible expenses)
• Eczema treatments
• Feminine hygiene products
• Fertility treatments (in vitro fertilization, surgery)
• First-aid cream
• Glucosamine
• Hearing devices and batteries
• Hemorrhoid treatments
• Hospital services
• Incontinence products
• Infertility treatments
• Insulin
• Laboratory fees
• Lamaze classes
• Laxatives
• Medical alert bracelets
• Medical information plan
• Menstrual pain relievers
• Mentally handicapped persons cost of special home care
• Motion sickness pills
• Nasal spray and strips
• Nicotine gum, patches
• Nursing services (including boarding)
• Obstetrical expenses
• Orthotics
• Over-the-counter medications
• Oxygen

• PPE (i.e.,face masks, hand sanitizer, sanitizing wipes)
• Petroleum jelly
• Prosthesis
• Pregnancy tests
• Prenatal vitamins
• Psychiatrists’ and psychologists’ fees
• Radial keratotomy and lasik eye surgery
• Routine physical & other non diagnostic services or treatments
• Sinus medication
• Smoking cessation programs
• Speech therapy
• Special education for the blind
• Special plumbing for handicapped
• Sterilization (i.e., tubal ligation,vasectomy) and reversal
• Stomach and digestive relief items
• Sunburn cream (Solarcaine)
• Surgical fees
• Telephone, special for hearing impaired
• Television audio display equipment for hearing impaired
• Therapeutic care for drug and alcohol addiction received as medical treatment
• Thermometers
• Toothache and teething pain relievers
• Transportation expenses for person to receive medical care
• Urinary pain relief medication
• Vaccines
• Varicose vein, treatment of
• Walkers
• Wart removal, i.e., W Freeze Off (certain wart medicines may require a prescription)
• Wheelchair
• X-rays
• Yeast infection medication

Eligible Health FSA Expenses Only with a Letter of Medical Necessity Form

• Acupressure
• Compression hose (20-30 mmHg)
• Dietary supplements
• Doula
• Exercise programs or equipment
• Fiber supplements
• Humidifier
• Hypnosis

• Lead-base paint removal
• Massage therapy, rolfing therapy
• Mineral supplements
• Occupational therapy
• Orthopedic shoes (Reimbursement is
permitted for the cost difference between
orthopedic shoes and regular shoes.)
• Oura ring

• Scooter, electric
• Service animal (guide dogs are eligible
without a LOMN)
• Tuition/meals/lodging for special needs
schooling
• Vitamins
• Water-Pik

Never Eligible

• COBRA premiums
• Concierge service fees - only medical
services actually provided are eligible for
reimbursement; membership fees for
concierge services are not eligible for
reimbursement

• Cosmetic products and cosmetic surgery
(unless to remediate damage from an
illness or injury)
• Diet program foods
• Disposable diapers
• Electric toothbrush
• Electrolysis

• Fitness programs*
• Hair transplants*
• Household help
• Maternity clothes
• Medicinal marijuana
• Teeth whitening*

*Unless prescribed by a doctor to treat an existing illness or injury.

Eligible Dependent Care FSA Expenses

• After-school programs
• Babysitters
• Day camp
• Daycare centers
• Eldercare
• Nursery schools

NOTE: Overnight camps are NOT eligible

Expense eligibility is subject to change. If you are unsure if an expense is eligible for reimbursement, please call P&A Group at 1-800-688-2611 or chat with a Participant Support Specialist through online webchat at www.padmin.com (opens in a new window).