Eligible Over-the-Counter Items
(Effective January 1, 2011)*
The following is a high level list of Over-the-Counter (OTC) items that clearly are not medicine or drugs and may be eligible for purchase with FSA or HRA dollars depending on your plan.
Antiseptics: Wound Cleansers, Alcohol, Peroxide, Epsom Salt
Baby Electrolytes: Pedialyte, Enfalyte
Dentures: Adhesives, Repair, and Cleansers, PoliGrip, Benzodent, Efferdent
Diabetes Testing and Aids: Insulin, Ascencia, One Touch, Diabetic Tussin, insulin syringes; glucose products
Diagnostic Products: Thermometers, blood pressure monitors, cholesterol testing
Elastics/Athletic Treatments: ACE, Futuro, elastic bandages, braces, hot/cold therapy, orthopedic supports, rib belts
Eye Care: Contact lens care solution
Family Planning: Pregnancy and ovulation kits
First Aid Dressings and Supplies: Band Aid, 3M Nexcare, non-sport tapes
Hearing Aid/Medical Batteries
Incontinence Products: Attends, Depends, GoodNites for juvenile incontinence
Reading Glasses and Maintenance
Eligible Items
The following is a list of potentially eligible items.
BABY/CHILD TO AGE 13
Lactation Consultant*
Lead-Based Paint Removal
Special Formula*
Tuition: Special School/Teacher for Disability or Learning Disability*
Well Baby /Well Child Care
DENTAL
Dental X-Ray
Dentures and Bridges
Exams and Teeth Cleaning
Extractions and Fillings
Oral Surgery
Orthodontia
Periodontal Service
EYES
Eye Exams
Eyeglasses and Contact Lenses
Laser Eye Surgeries
Prescription Sunglasses
Radial Keratotomy
HEARING
Hearing Aids and Batteries
Hearing Exams
LAB EXAMS/TESTS
Blood Tests and Metabolism Tests
Body Scans
Cardiograms
Laboratory Fees
X-Rays
MEDICAL EQUIPMENT/SUPPLIES
Air Purification Equipment*
Arches and Orthotic Inserts
Contraceptive Devices
Crutches, Walkers, Wheel Chairs
Exercise Equipment*
Hospital Beds*
Medic Alert Bracelet or Necklace
Nebulizers
Orthopedic Shoes*
Oxygen*
Prosthetics
Syringes
Wigs*
MEDICAL PROCEDURES/SERVICES
Acupuncture
Alcohol and Drug/Substance Abuse (inpatient treatment and outpatient care)
Ambulance
Fertility Enhancement and Treatment
Hair Loss Treatment*
Hospital Services
Immunization
In Vitro Fertilization
Physical Examination (not employment-related)
Service Animals
Sterilization/Sterilization Reversal
Transplants (including organ donor)
MEDICATIONS
Insulin
Prescription Drugs
OBSTETRICS
Lamaze Class
OB/GYN Exams
OB/GYN Prepaid Maternity Fees (reimbursable after date of birth)
Pre- and Postnatal Treatments
PRACTITIONERS
Allergist
Chiropractor
Christian Science Practitioner*
Dermatologist
Homeopath
Optometrist
Osteopath
Physician
Psychiatrist or Psychologist
THERAPY
Alcohol and Drug Addiction
Counseling (not marital or career)
Hypnosis
Occupational
Physical
Smoking Cessation Programs*
Speech
Weight Loss Programs*
The list above is not meant to be an all-inclusive list of potentially eligible FSA and or HRA expenses, as other expenses not specifically mentioned may also qualify. Also, expenses marked with an asterisk (*) are “potentially eligible expenses” that require a Note of Medical Necessity from your health care provider to qualify for reimbursement. Each plan is different; for additional information specific to your plan, check your Summary Plan Document. This list of eligible and ineligible expenses is current as of October 28, 2010.
*DISCLAIMER: Every effort has been made to present this information accurately, however, this is just a summary overview. An overview means that details, explanations, and qualifiers are left out. This information is intended only to provide general guidance, and you should not rely on it as a complete explanation of this topic. OTC rules and guidelines are still being drafted and may change prior to January 1, 2011. This is not a legal document.