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Qualified Expense List

Qualifying Health Care Expenses

  • Acupuncture
  • Alcoholism treatment
  • Ambulance
  • Artificial limbs
  • Artificial teeth
  • Asthma treatments
  • Body scans
  • Braille books and magazines
  • Breast reconstruction surgery following mastectomy
  • Chelation therapy
  • Chiropractors
  • Co-insurance amounts
  • Co-payments
  • Deductibles
  • Dental sealants
  • Dental treatment
  • Diagnostic items/services
  • Drug addiction treatment
  • Drug overdose, treatment of
  • Eye examinations, eye glasses, equipment and materials
  • Fluoridation services
  • Guide dog; other service animal
  • Hospital services
  • Immunizations
  • Laboratory fees
  • Laser eye surgery; Lasik
  • Lodging at a hospital or similar institution
  • Mastectomy-related special bras
  • Medical alert bracelet or necklace
  • Medical information plan charges
  • Medical records charges
  • Obstetrical expenses
  • Occlusal guards to prevent teeth grinding
  • Operations
  • Optometrist
  • Organ donors
  • Orthodontia
  • Osteopath fees
  • Oxygen
  • Physical exams
  • Physical therapy
  • Preventive care screenings
  • Prosthesis
  • Psychiatric care
  • Radial keratotomy
  • Screening tests
  • Seeing eye dog
  • Sleep deprivation treatment
  • Smoking cessation programs
  • Speech therapy
  • Supplies to treat medical condition
  • Surgery
  • Taxes on medical services and products
  • Telephone for hearing impaired persons
  • Television for hearing impaired persons
  • Therapy
  • Transplants
  • Transportation expenses for person to receive medical care
  • Tuition evidencing separate breakdown for medical expenses
  • Vaccines
  • Vision correction procedures
  • Wheelchair
  • X-ray fees

 

Qualifying Over-The-Counter (OTC) Items

  • Acne treatment
  • Allergy medicine
  • Antacids (Examples: Maalox, Prilosec OTC, Zantac)
  • Antibiotic ointments (Examples: Bacitracin, Neosporin)
  • Antihistamines (Examples: Benadryl, Claritin)
  • Anti-itch creams (Examples: Benadryl, Cortaid, Ivarest)
  • Arthritis gloves
  • Aspirin
  • Bactine
  • Bandages (Examples: Band- Aid, Curad, Ace)
  • Blood pressure monitoring devices
  • Blood sugar test kits and test strips
  • Calamine lotion
  • Carpal tunnel wrist supports
  • Claritin, an allergy drug
  • Cold/hot packs
  • Cold medicine (Examples: Comtrex, Sudafed)
  • Contact lenses, materials and equipment
  • Cough suppressants (Examples: Pediacare, Robitussin, cough drops)
  • Crutches
  • Decongestants (Examples: Dimetapp, Sudafed)
  • Dentures, denture adhesives
  • Diabetic supplies (including Insulin)
  • Diaper rash ointments and creams (Example: Desitin)
  • Diarrhea medicine (Examples: Imodium, Kaopectate)
  • Eczema treatments
  • Expectorants (Examples: Comtrex, Robitussin)
  • First aid cream
  • First aid kits
  • Continued
  • Gauze pads
  • Glucose monitoring equipment
  • Hearing aids
  • Hemorrhoid treatments (Example: Preparation H)
  • Insect bite creams and ointments (Examples: Benadryl, Cortaid)
  • Lactose intolerance tablets (Example: Lactaid)
  • Laxatives (Example: Ex-Lax)
  • Medical monitoring and testing devices
  • Menstrual pain relievers
  • Motion sickness pills (Examples: Bonine, Dramamine)
  • Nasal strips or sprays
  • Orthopedic shoe inserts
  • Pain relievers (Examples: Advil, Aspirin, Tylenol)
  • Petroleum jelly
  • Pregnancy test kits
  • Reading glasses
  • Sinus medications (Example: Sudafed)
  • Support braces
  • St. John’s Wort
  • Sunburn creams and ointments
  • Sunscreen
  • Thermometers
  • Throat lozenges (Examples: Cepacol, Chloraseptic)
  • Toothache and teething pain relievers (Example: Orajel)
  • Walkers
  • Wart remover treatment
  • Yeast infection medications

 

Eligible Menstrual Product Expenses

  • Tampons
  • Pads
  • Liners
  • Cups
  • Sponges
  • Other similar products used by individuals with respect to menstruation

 

Potentially Qualifying Health Care Expenses

A Certification of Medical Necessity Form must be completed by your physician.

  • AA meetings, transportation to
  • Alternative healers
  • Automobile modifications
  • Birthing classes
  • Blood storage
  • Books, health related
  • Car modifications
  • Childbirth classes
  • Counseling
  • Dyslexia treatment
  • Fitness programs
  • Gambling problem, treatment
  • Health club fees
  • Home improvements (such as exit ramps, widening doorways, elevator, etc.)
  • Hormone replacement therapy
  • Hypnosis
  • Lactation consultant
  • Lamaze classes
  • Language training
  • Lead-based paint removal
  • Lodging of a companion
  • Long-term care services
  • Massage therapy
  • Mineral supplements
  • Nursing services
  • Nutritionist’s expenses
  • Occupational therapy
  • Personal trainer fees
  • Psychoanalysis
  • Psychologist
  • Ultrasound, prenatal
  • Varicose veins, treatment of
  • Veterinary fees (service animals)
  • Weight loss programs

 

Ineligible Health Care Expenses

  • Appearance improvements
  • Car seats
  • Controlled substances in violation of federal law
  • Cosmetic procedures
  • Ear piercing
  • Electrolysis or hair removal
  • Funeral expenses
  • Hair removal and transplants
  • Household help
  • Illegal operations and treatments
  • Late fees (e.g., for late payment of bills for medical services)
  • Maternity clothes
  • Mattresses
  • Missed appointment fees
  • Recliner chairs
  • Tanning salons and equipment
  • Teeth whitening
  • Veneers

 

This is not a comprehensive list and is subject to change at any time and without notice.     

 

Potentially Qualifying OTC Expenses

Items in this category require a Certification of Medical Necessity form completed by your physician.

  • Air conditioner
  • Air purifier
  • Allergy treatment products; household improvements to treat allergies
  • Chondroitin
  • Compression hose
  • Dietary supplements
  • Fiber supplements
  • Glucosamine
  • Herbs
  • Holistic or natural healers, and drugs and medicines
  • Humidifier
  • Incontinence supplies
  • Nutritional supplements
  • Probiotics
  • Rehydration solution (Example: Pedialyte)
  • Retin-A
  • Rogaine
  • Special foods
  • Sunglasses
  • Treadmill
  • Vitamins
  • Wigs

 

Ineligible OTC Expenses

  • Dental floss
  • Deodorant
  • Diet foods
  • Face creams
  • Hair colorants
  • Mouthwash
  • Perfume, Cologne
  • Permanent waves
  • Safety glasses
  • Shampoos
  • Shaving cream or lotion
  • Skin moisturizers, hand lotion
  • Soaps
  • Toiletries
  • Toothbrushes
  • Toothpaste

 

Eligibility rules for OTC items may change. The ability to pay for eligible items with the Health Spending Card may vary by merchant and is dependent on the merchant’s IIAS system.This is not a comprehensive list and is subject to change at any time and without notice. Items listed in each category may be reclassified into another category depending on future IRS guidance.

 

Eligible Dependent Care Expenses

  • Care in your home, someone else’s home, or in a daycare center for child care and/or eldercare. Licensing requirements may apply.
  • Registration fees for a daycare
  • Before and after school care for children under age 13
  • Education expenses for a child not yet in kindergarten, such as nursery school expenses
  • Expenses paid to a relative are eligible, however, the relative cannot be under age 19 or a tax dependent
  • Day camp (not overnight) expenses if the camp qualifies as a daycare center
  • FICA and FUTA payroll taxes of the daycare provider

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