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What Are My FSA Eligible Expenses? The IRS determines which expenses are eligible for reimbursement. Eligible expenses include health plan co-payments, dental work and orthodontia, eyeglasses and contact lenses, and prescriptions.
Standard FSA: This type of FSA is offered by most employers. It covers medical, dental, vision, and pharmacy expenses. If you have a Standard FSA, you are ineligible for contributing to an HSA. If there is a checkmark in the first column of the eligible expense list this expense is covered under the Standard FSA. If there isn’t a checkmark the expense is not covered under the FSA.
Limited-Purpose FSA: This type of FSA (also known as HSA-Compatible FSA) is for people who want to contribute to an HSA and who also have expected dental and vision expenses. Because this type of FSA does not cover any medical or pharmacy expenses, it does not disqualify you from contributing to an HSA. A Limited-Purpose FSA lets you take advantage of both an HSA and FSA. If there is a checkmark in the second column of the eligible expense list this expense is covered under the Limited FSA. If there isn’t a checkmark the expense is not covered under the Limited FSA.
Letter: In addition to the required detailed receipt, you will need to submit a Letter of Medical Necessity, signed by your doctor, to verify this expense is a medically-necessary treatment for a known medical condition.
Rx: The Affordable Care Act (ACA) requires you submit an actual prescription from your doctor, in addition to the required detailed receipt. The prescription must be written by your doctor (on a prescription pad or form) and dated on or before the date you incurred the expense to verify this over-the-counter medicine is prescribed for a known medical condition.
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