EXPENSES OF FSA EXPENSES THAT REQUIRE A LETTER OF MEDICAL NECESSITY
The IRS allows FSA reimbursement of the following, with a copy of the physician’s statement of medical necessity, that includes the specific product/service and diagnosis. Treatment cannot be for general health or wellbeing. A copy should be submitted with every reimbursement request and a new letter needs to be obtained every 12 months.
- Health club fees/gym memberships
- Nutritional supplements/vitamins
- Massage therapy
- Weight loss programs (i.e. Weight Watchers and Jenny Craig) – Program fees are eligible but food portions are not.
EXAMPLES OF INELIGIBLE FSA EXPENSES
The IRS does not allow reimbursement for the following items:
- Cosmetic surgery
- Insurance premiums
- Marriage/debt counseling
- Eyeglass sun clips
- Eyeglass or contact warranty
- Prepayment of services
- Special (dietary) foods
- Personal care items
- Diapers
- Deodorant
- Chapstick
- Face cream or moisturizers
- Eye serums or wrinkle creams
- Teeth bleaching/whitening
- Toothbrushes/toothpaste
- Floss/flossing devices
- Mouthwash
- Protein shakes/meal replacement
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