Eligible expenses

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.