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ELIGIBLE Medical Care Costs

• Acupuncture
• Alcoholism Treatment
• Ambulance
• Artificial Limb
• Autoette/Wheelchair
• Bandages
• Breast Reconstruction Surgery1
• Birth Control Pills
• Braille Books and Magazines
• Chiropractor
• Christian Science Practitioner2
• Crutches
• Diagnostic Services
• Disabled Dependent Medical Care
• Drug Addiction Treatment
• Drugs and Medicines (Prescription and OTC Eligible for HCFSA)
• Fertility Treatment (to Overcome Infertility)
• Guide Dog or Other Animal
• Hearing Aids
• Home Care
• Hospital Services
• Laboratory Fees
• Lead Based Paint Removal
• Lodging Essential to Medical Care3
• Maternity Care & Related Services
• Meals for Inpatient3
• Medical Information Plan
• Medical Services (e.g. Physician, Surgeon, Specialists)
• Mentally Retarded, Special Home for
• Nursing Home
• Nursing Services
• Operations
• Organ Donor’s Medical Expenses and Transportation
• Osteopath
• Oxygen
• Prosthesis
• Psychiatric Care
• Psychoanalysis
• Psychologist
• Special Education4
• Sterilization
• Stop-Smoking Programs
• Surgery
• Telephone for Hearing-Impaired
• Television for Hearing-Impaired
• Therapy
• Transplants
• Transportation Essential to Medical Care
• Vasectomy
• Weight-loss Program That Is Part of Specific Disease Treatment Program
• Wheelchair
• Wig to Replace Hair Lost to Disease
• X-ray

ELIGIBLE Prescriptions
Includes out-of-pocket expenses for prescription drug co-payments and co-insurance


ELIGIBLE Dental Care
Includes out-of-pocket expenses for preventative and basic procedures, tooth extractions, root canal, crowns, dentures, and orthodontics


ELIGIBLE Eye Care
Includes eye exams, eyeglasses, prescription sunglasses, contacts, LASIK surgery
Eyeglasses
Contact Lenses
Prescription Sunglasses
Eye Examinations
Eye Surgery (e.g. LASIK)
Optometrist


ELIGIBLE OTC Medications

• Acne Treatments (Medically Necessary)
• Allergy Prevention and Treatment (i.e., Tylenol® Allergy Sinus)
• Analgesics/Antipyretics
• Antacids and Acid Reducers (i.e., Imodium® GasAid, Mylanta® Heartburn, Mylanta® Gas, Children’s Mylanta® Chewable Tablets, Pepcid® AC)
• Anti-arthritics (i.e., Tylenol® Arthritis)
• Antibiotics
• Anticandial (Yeast) (i.e., Monistat®)
• Antidiarrheal and Laxatives
• Antifungal
• Antihistamines
• Anti-itch Lotions and Creams (i.e., Aveeno® Anti-Itch, Cortaid®)
• Antiseptics
• Asthma Medicines
• Bandages
• Blood Pressure Monitor
• Bug Bite Medication
• Carpal Tunnel Support
• Cold and Flu Remedies (i.e., Tylenol® Cold and Flu, Children’s Motrin IB® Cold)
• Cold Sore/Fever Blister
• Contact Lens Solution
• Contraceptive Products (e.g., Condoms)
• Cough Suppressants or Expectorants (i.e., Tylenol® Cough & Sore Throat)
• Decongestants (i.e., Motrin IB® Cold and Sinus)
• Dehydration
• Denture Adhesives
• Diabetic Supplies
• Diaper Rash (i.e., Balmex®, Johnson’s® Diaper Rash Cream, Aveeno®)
• Diuretics and Water Pills
• Ear Care
• Eye Care
• Eye Drops
• First Aid Supplies (i.e., BAND-AID® Brand Adhesive Bandages)
• Head Lice Treatment
• Hearing Aid Batteries
• Hemorrhoidal Preparations
• Lactose Intolerance (i.e., Lactaid® Dietary Supplements)
• Medicated Shampoo/Soaps (Medically Necessary)
• Migraine Relief (i.e., Motrin IB®)
• Motion Sickness
• Muscle/Joint Pain (i.e., Tylenol® Arthritis, Tylenol® 8 Hour)
• Nausea/Vomiting Remedies
• NSAIDS
• Ophthalmic Preparations (i.e., Acuvue®, Surevue®)
• Pain Relievers/Fever Reducers (i.e., Motrin IB®, Tylenol® Extra Strength)
• Pediculicide
• Personal Test Kits
• Pinworm Treatment
• Poison Treatment
• Pregnancy Tests
• Prenatal Vitamins (Medically Necessary)
• Reading Glasses
• Respiratory Stimulant Ammonia
• Sinus Products (i.e., Tylenol® Sinus)
• Sleeping Aids (to Treat Insomnia)
• Smoking Cessation
• Teething/Toothaches/Mouth Pain (i.e., Children’s Tylenol®, Tylenol® Extra Strength)
• Throat Pain Medications
• Topical Steroids
• Wart Removal
• Weight Loss Products (Medically Necessary)
• Wound Care (e.g., Gauze) (i.e., BAND-AID® Brand Adhesive Bandages)

NOTES:

1. You cannot include in medical expenses the amount you pay for unnecessary cosmetic surgery. This includes any procedure that is directed at improving the patient's appearance and does not meaningfully promote the proper function of the body or prevent or treat illness or disease. You cannot include in medical expenses the amount you pay for procedures such as face lifts, hair transplants, hair removal (electrolysis), teeth whitening and liposuction.

2. You cannot include in medical expenses the cost of nutritional supplements, vitamins, herbal supplements, “natural medicines,” etc. unless they are recommended by a medical practitioner as treatment for a specific medical condition diagnosed by a physician.

3. You cannot include in medical expenses the cost of an item used by personal living, or family purposes unless it is used primarily to prevent or alleviate a physical or mental defect or illness. For example, the cost of a toothbrush and toothpaste are not eligible expenses.

ELIGIBLE OTC products (requires a doctors note)

• Dental Fluoride Products5
• Feminine Hygiene Products (Post surgery or childbirth)
• Incontinence Products6
• Dietary/Fiber Supplements7
• Joint Supplements8
• Orthopedic Shoes and Inserts
• OTC Hormone Therapy
• Snoring Cessation Aids9
• Sunscreen

INELIGIBLE HEALTHCARE EXPENSES
Baby Sitting, Childcare, and Nursing Services for a Normal, Health Baby
Controlled Substances - without prescription
Cosmetic Surgery1
Dancing Lessons
Diaper Service
Electrolysis or Hair Removal
Funeral Expenses
Hair Transplant1
Health Club Dues
Health Coverage Tax Credit
Household Help
Illegal Operations and Treatments
Insurance Premiums (e.g., HMO premiums, Employer-sponsored health insurance plan premiums)
Maternity Clothes
Medical Savings Account (MSA)/ Health Saving Account (HSA) Contributions
Medicare B and D Premiums
Nutritional Supplements2
Personal Use Items3
Swimming Lessons
Teeth Whitening
Veterinary Fees
Weight-Loss Program not part of specific disease treatment



INELIGIBLE OVER-THE-COUNTER PRODUCTS
Aromatherapy
Baby Products (e.g., bottles, wipes, baby oil)
Breast Enhancements
Cosmetic Products (e.g., Makeup, perfumes)
Dental Products (e.g., Toothbrush, toothpaste, Dental Floss)
Dietary/Nutritional Supplements (e.g., Ensure, Glucerna, Slimfast)
Feminine Care (e.g., Tampons)
Herbal Supplements
Sun Tanning Products
Toiletries (e.g., Deodorant, Shampoo, Chap Stick)
Vitamins (for general health/routine use)