Note: If you export grouped data to RTF, be certain to open the resulting file with an editor that fully supports RTF features, including tables. For instance, Microsoft WordPad doesn't support this feature and thus the file may appear as if corrupted.

Qualifying Expenses Drag a column header here to group by that column Condition/Type of Service/Expense Account Type Eligible Expense Potentially Eligible Expense* Not Eligible Expense ACNE TREATMENT HCFSA ACUPUNCTURE HCFSA ADAPTIVE EQUIPMENT HCFSA ADOPTION FEES HCFSA AIR CONDITIONERS/AIR PURIFIERS HCFSA ALCOHOLISM/DRUG/SUBSTANCE ABUSE TREATMENT HCFSA ALLERGY PRODUCTS HCFSA ALTERNATIVE MEDICINE HCFSA AMBULANCE HCFSA ARTIFICIAL REPRODUCTIVE TECHNOLOGIES HCFSA Page 1 of 21 (208 items) 1 2 3 4 5 6 7 … 19 20 21

*Please note, all "potentially eligible health care expenses" require a letter of medical necessity from your health care provider in order to be considered eligible for reimbursement. The letter must include the diagnosis or symptoms from which you, your spouse or dependent are being treated, along with specific information on how the product or service is intended to alleviate symptoms or improve function.