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Sample Expenses Eligible For Spending Account Reimbursements

Medical, Dental, Vision Expenses
  • Acupuncture
  • Alcoholism treatment
  • Ambulance hire
  • Artificial teeth
  • Birth control pills
  • Braces
  • Braille-books & magazines
  • Chiropractors
  • Christian Science Practitionersí Fees
  • Co-insurance amount you pay
  • Co-pay amount you pay
  • Contact lenses & eyeglasses plus eye examination
  • Contact lens solution
  • Cost of operations and related treatments
  • Crutches
  • Dental fees
  • Drugs (by prescription) & medical supplies
  • Handicapped personsí special schools
  • Hearing devices & batteries
  • Home improvements necessitated by medical considerations
  • Hospital bills
  • Insulin
  • Laboratory fees
  • Lead-base paint removal (for children with lead poisoning)
  • Massage Therapy (medically necessary)
  • Mentally handicapped personsí cost of special home therapy
  • Nicotine patches and nicotine gum (with prescription)
  • Obstetrical expenses
  • Orthopedic shoes
  • Over-the-counter medications
    Important: Over-the-Counter medicines will no longer be reimbursable under FSA, HRA, or HSA plans after January 1, 2011 without a doctor's prescription.*
  • Oxygen
  • Physical fees
  • Psychiatrists & Psychologists fees
  • Radial Keratotomy and Lasik eye surgery
  • Routine physical & other non-diagnostic services or treatments








  • Seeing-eye dog and maintenance
  • Special education for the blind
  • Special plumbing for the handicapped
  • Sterilization (i.e., tubal ligation, vasectomy)
  • Surgical fees
  • Telephone, special services for the deaf
  • Television audio display equipment for the deaf
  • Therapeutic care for drug & alcohol addiction
  • Therapy treatments
  • Transportation expenses primarily in the rendering of medical services
  • Tuition at special school for handicapped
  • Vitamins (by prescription only)
  • Weight loss program (if prescribed by Physician to treat existing disease)
  • Wheelchair
  • X-ray


Dependent Care Expenses

  • Babysitters over the age of 19
  • Daycare Centers
  • Nursery Schools
  • After-School Programs
  • Day Camp
  • Eldercare †


Common Expenses Not Eligible for Reimbursement

  • Cosmetic procedures
  • Over the counter vitamins and dietary supplements (unless claimant provides a prescription from a physician)
  • Gym and fitness club memberships †

* Some items may require physician documentation

If you are unsure if an expense is eligible for reimbursement, please call the Interactive Medical Systems Flex Department at 919-877-9933 or 800- 426-8739. Business hours are Monday through Friday 8:00 am to 5:00 pm EST.