(Updated for 2012 Flexible Spending eligible expenses)
A year has flown by. The FSA 2011 season ends in only 3 months, at least for me. We will have to allocate new amounts in my flexible spending account for 2012 during the open enrollment season in November. I can spend my fsa 2011 money until November 30 (some people have until December 31, check you HR for the exact date) and I will have to file for my reimbursement before the end of the year. Now would be a good time to tally how much you have left over in your flexible spending account for 2011 and plan for spending the money. If you scramble at the last moment you might end up buying stuff that you don’t need. Remember, buying stuff we won’t need never makes sense from a saving money point of view.
As I have mentioned before, the flexible spending accounts changed from 2011. Several expenses that were eligible without a prescription require a prescription to be part of FSA 2011 eligible expenses. Here is a list of eligible expenses and also eligible criteria.
FSA 2011 eligible expenses – Easily overlooked expenses that doesn’t require prescription
- Acupuncture
- Blood pressure monitors
- Birth control pills
- Blood sugar test kits & test strips
- Chiropractors
- Co-pay
- Cold/hot packs
- Contact lenses
- Contact lens solution
- Capital expenses to accommodate disability
- Dental care (toothache relief, denture adhesives)
- Doctor-recommended weight-loss programs
- Eye care lubricant
- Feminine care (Progesterone cream, vaginal infection treatments, estrogen cream)
- First aid kits (heat wraps, compresses, bandages, tape, gauze dressing, adhesive pads)
- Hand Sanitizers
- Hearing aid & its batteries
- Incontinence supplies
- Lodging expenses of the patient (if the sole reason for the lodging is to receive medical care)
- Lodging expenses of the companion (if parents are traveling for the kid’s treatment)
- Mileage to/from doctors office, hospital or any test facility
- Ovulation kits
- Parking fees (if the only reason you are there is to receive medical care)
- Pregnancy test kits
- Rubbing alcohol
- Sales tax for medical expenses
- Shampoo treatments relating to lice
- Shipping and handling fees if you buy the drugs online
- Smoking cessation aids (gums, patches)
- Thermometers
- Transfer of medical records (if you paid any money to transfer all you tests from one doctor to another)
- Travel expenses – for treatment
FSA 2011 eligible expenses – Treatments/Procedures
Most of these procedures are carried out only after a doctor’s recommendation. So if you had one of these treatments/procedures for a medical necessity it should not be a problem getting reimbursed from your FSA 2011 money.
- Acne treatment
- Adoption/Pre-adoption medical expenses
- Alcoholism treatment
- Ambulance services
- Asthma treatments
- Chelation therapy
- Crutches
- Dental treatments
- Diagnostic items/services
- Drug addiction treatments
- Drug overdose treatments
- Egg donor fees
- Eye examinations
- Fertility treatments
- Flu shots
- Fluoridation services
- Hemorrhoid treatments
- Hospital services
- Immunizations
- Laboratory fees
- LASIK eye surgery
- Learning disability instructional fees
- Motion sickness treatment
- Organ transplants
- Orthodontia
- Oxygen
- Physical exams
- Physical therapy
- Psychiatric care
- Radial Keratotomy
- Sleep deprivation treatment
- Smoking cessation programs
- X-ray fees
FSA 2011 eligible expenses – Capital expenses
These capital expenses require a written note from your doctor on why you need these items. The documentation generally includes (1) date (2) your full name (3) your doctors name (4) statement of medical necessity (5) prescribed treatment or equipment (6) any special requirement on the equipment.
- Air conditioner/airpurifier
- Automobile modification
- Cervical pillow
- Exercise equipment/program
- Home improvements
- Humidifier
- Inclinator
- Lead based paint removal
- Vaporizers
- Wigs
FSA 2011 eligible expenses – Special requirement expenses
These expenses are mostly routine treatments for a medical conditions. But to be reimbursed from your 2011 flexible spending account, you will need either/both
- Prescription
- Letter of necessity (these might be dual purpose expenses that everyone uses. If it is for general purposes it is not reimbursable, but if you require that item due to some medical conditions they are reimbursable). You will need a letter from your doctor explaining the necessity. The documentation is same as the capital expense documentation and generally include (1) date (2) your full name (3) your doctor’s name (4) statement of medical necessity (5) prescribed treatment.
| FSA 2011 eligible Item | Examples | requirements |
|---|---|---|
| Allergy relief | Nasal sprays, oral pills | Rx required |
| Alternative healers | Homeopath, nutritionist | Rx and Letter of necessity |
| Analgesics | Aspirin, Ibuprofen | Rx required |
| Antibiotics | Cream/pills – Neosporin | Rx required |
| Antacids | Alka Seltzer | Rx required |
| Anti-diarrheal | Pepto bismol | Rx required |
| Anti-itch or hydrocortisone creams | Benadryl, Cortaid | Rx required |
| Arthritis pain relief | Activon | Rx required |
| Birthing classes | - | Letter of necessity |
| Breast pumps | - | Letter of necessity |
| Cold medicine | Tablet, lozenges, cough syrup | Rx required |
| Diaper rash cream | Desinex | Rx required |
| DNA collection/storage | - | Letter of necessity |
| Ear plugs | - | Letter of necessity |
| Fiber supplements | - | Rx and Letter of necessity |
| Foot care | special shoes, arch/insole support | Letter of necessity |
| Genetic testing | - | Letter of necessity |
| Health club fees/personal trainer | - | Letter of necessity |
| Hormone replacement therapy | - | Letter of necessity |
| Homeopathic medicines | - | Rx required |
| Lamaze classes | - | Letter of necessity |
| Massage therapy | - | Letter of necessity |
| Menstrual pain relievers | Midol | Rx required |
| Mineral supplements | - | Letter of necessity |
| Motion sickness | Dramamine, motion sickness bracelets | Rx required |
| Nicotine gums/patches | Nicoderm | Rx required |
| Nutritional & dietary supplements | Protein bars, milkshakes | Letter of necessity |
| Prenatal vitamins | - | Rx required |
| Sunglasses | - | Rx required |
| Safety glasses | - | Rx required |
| Sleep aids | - | Rx required |
| Sterilization procedures | - | Letter of necessity |
| Sunscreen SPF 30 or higher | - | Rx required |
| Sunburn creams & oinments | - | Rx required |
| Urinary pain relief | - | Rx required |
This list of expenses will hold true for 2012 as well. If you have money left over in your 2011 Flexible Spending account, you have 3-4 months now to plan and use it efficiently. You can use this list to plan for how much to set aside for 2012 as well. If you need more ideas, browse the FSAStore.com or Drugstore.com and it will show if an item is FSA eligible expense or not. If you need a lot more ideas than this and need a more authoritative source check the IRS list of eligible medical and dental expenses.
Note: This list is applicable for HSA or Health Savings Account for 2011 as well.



{ 5 comments… read them below or add one }
Thanks for the tips. I’m new to the FSA stuff, and I definitely need to work on it since I probably won’t have dental insurance.
Thanks for spelling this out. I keep forgetting what’s covered and what’s not, and I wish I knew why certain things are while others aren’t. For instance, my daughter’s OTC vitamins are not covered but my OTC prenatals (I’m not pregnant but the only vegetarian vitamins I can find are OTC) are.
My prenatals are not covered actually. I had to get a prescription for vegetarian prenatals. For my FSA, the regular ones were covered :X
Why does the article say
FSA 2011 eligible expenses – Easily overlooked expenses that doesn’t require a prescription
Sunglasses (prescription sunglasses)
And then further down
FSA 2011 eligible expenses – Special requirement expenses
Sunglasses – Rx required
Do I or do I not need a prescription?!
I have removed the first Sunglasses. Regular non-prescription sunglasses are not eligible for FSA.
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