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If you are enrolled in a Limited Medical FSA or Combination Medical FSA, your eligible expenses may be different. Check your plan details for more information.

*
Eligible expenses in an HRA will vary depending on plan design.
Eligible
Eligible for reimbursement.
Doc
Additional documentation required.
Rx/MN
Eligible for reimbursement with a Doctor’s Note/Prescription for products or a Medical Necessity form for services.