How Can I Spend My HRA, FSA, HSA, FSA Money

Wondering what you can use your money on?

 

HSA, HRA, healthcare FSA and dependent care eligibility list

The following is a summary of common expenses claimed against Health Savings Accounts (HSAs) , Health Reimbursement Arrangements (HRAs), Healthcare Flexible Spending Accounts (HC-FSAs), and Dependent Care FSAs (DC-FSAs). Due to frequent updates to the regulations governing these accounts and arrangements, this list does not guarantee reimbursement and is to be utilized as a guide for the submission of claims. Find more information on IRS-qualified medical expenses from irs.gov.

If you have an HRA or FSA, your employer’s plan may only reimburse a subset of expenses. Please refer to your Plan Document for confirmation of reimbursable expenses under your plan.

If you are currently participating in a High Deductible Health Plan (HDHP) and are contributing to an HSA, you may also participate in a Limited Purpose HRA or Health FSA. Expenses are limited to dental and vision expenses identified with an * in the list below.

 

Common IRS-Qualified Medical Expenses

Acupuncture
Ambulance
Artificial limbs
Artificial teeth*
Birth control treatment
Blood sugar test kits for diabetics
Breast pumps and lactation supplies
Chiropractor
Contact lenses and solutions*
COVID-19 diagnostic testing and treatment
Crutches
Dental treatments (including X-rays, cleanings, fillings, sealants, braces and tooth removals*)
Doctor’s office visits and co-pays
Drug prescriptions
Eyeglasses (Rx and reading)*
Fluoride treatments*
Feminine hygiene products
Fertility enhancement (including in-vitro fertilization)
Flu shots
Guide dogs
Hearing aids and batteries
Infertility treatment
Inpatient treatment at a therapeutic center for alcoholism or drug addiction
Insulin
Laboratory fees
Laser eye surgery*
Medical alert bracelet
Medical records charges
Midwife
Occlusal guards to prevent teeth grinding
Orthodontics*
Orthotic Inserts (custom or off the shelf)
Over-the-counter medicines and drugs (see more information below)
Personal protective equipment (PPE) like masks and hand sanitizer
Physical therapy
Psychiatric care
Psychoanalysis
Psychologist
Special education expenses that include tutoring for a child with learning disabilities caused by mental impairments (recommended by doctor)
Speech therapy
Stop-smoking programs (including nicotine gum or patches, if prescribed)
Surgery, excluding cosmetic surgery
Vaccines
Vasectomy
Vision exam*
Walker, cane
Wheelchair

 

Common Over-the-Counter (OTC) Medicines

Examples include, but are not limited to:

Acid controllers
Acne medicine
Aids for indigestion
Allergy and sinus medicine
Anti-diarrheal medicine
Baby rash ointment
Cold and flu medicine
Eye drops*
Feminine antifungal or anti-itch products
Hemorrhoid treatment
Laxatives or stool softeners
Lice treatments
Motion sickness medicines
Nasal sprays or drops
Ointments for cuts, burns or rashes
Pain relievers, such as aspirin or ibuprofen
Sleep aids
Stomach remedies

 

Services That May Be Eligible with a Letter of Medical Necessity Completed

This list is not all-inclusive:

Weight-loss program only if it is a treatment for a specific disease diagnosed by a physician (e.g., obesity, hypertension, heart disease)
Compression hosiery/socks, antiembolism socks or hose
Massage treatment for specific ailment or diagnosis
CPR classes for adult or child
Improvements or special equipment added to a home or other capital expenditures for a physically handicapped person

 

Ineligible Expenses

Listed below are some services and expenses that are not eligible for reimbursement. This list is not all-inclusive:

Aromatherapy
Baby bottles and cups
Baby oil
Baby wipes
Breast enhancement
Cosmetics and skin care
Cotton swabs
Dental floss
Deodorants
Hair re-growth supplies and/or services
Health club membership dues
Humidifier
Lotion
Low-calorie foods
Mouthwash
Petroleum jelly
Shampoo and conditioner
Spa salts

 

Eligible Dependent Care Expenses

Au pair services
Babysitting services
Before- and after-school programs
Custodial or eldercare expenses, in-home or daycare center (not medical care)
Nursery school
Pre-kindergarten
Summer day camp (not educational in nature)

Ineligible Dependent Care Expenses

Clothing
Food/meals
Kindergarten and higher education/tuition expenses
Overnight camp

 

 

This list is not comprehensive. It is provided to you with the understanding that Veritas Risk Management, Inc. is not engaged in rendering tax advice. The information provided is not intended to be used to avoid federal tax penalties. For more detailed information, please visit irs.gov. If tax advice is required, you should seek the services of a professional.