Eligible expenses
The following text field filters the list of eligible expenses. The table will update as you type.
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.
¹Eligible expenses in an HRA will vary depending on plan design.
²Rx/MN – Eligible for reimbursement with a Doctor’s Note/Prescription for products or a Medical Necessity form for services.
³Additional documentation required.