What qualifies as medical expenses for flexible spending account?

Asked by: Cassidy Schumm  |  Last update: September 16, 2025
Score: 4.2/5 (38 votes)

Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, insulin, and medical devices. You decide how much to put in an FSA, up to a limit set by your employer. You aren't taxed on this money.

What are qualified medical expenses?

Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and for the purpose of affecting any part or function of the body. These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners.

What medical supplies are FSA-eligible for?

Categories of FSA-eligible items
  • Home healthcare: Thermometers, pain relief devices, blood pressure monitors, medical alert devices, blood sugar test kits, and more.
  • Over-the-counter (OTC) medications: For cough, cold, allergies, pain relief, and more.

Can I use FSA for shampoo and conditioner?

Only costs in excess of normal day to day general hygiene usage. Medicated shampoos (Over the Counter: Meds & Drugs) May be eligible if used to treat a specific medical condition.

Can FSA be used for groceries?

No, you can't use your Flexible Spending Account (FSA) or Health Savings Account (HSA) for straight food purchases like meat, produce and dairy. But you can use them for some nutrition-related products and services. To review, tax-advantaged accounts have regulatory restrictions on eligible products and services.

Everything you need to know about Health FSAs

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Can FSA pay for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Is Tylenol FSA eligible?

Can I buy OTC medicine such as Tylenol and Tums with my FSA or HSA? Yes. You can buy OTC medicine such as Tylenol and Tums with your FSA or HSA.

Does toilet paper count for FSA?

Here are examples of items and expenses that are not FSA-eligible for 2024: General health items: toiletries like toothpaste, toilet paper, or shampoo, cosmetic products, vitamins and supplements (without a prescription) Non-medical equipment: car seats, strollers, non-medical exercise equipment.

Is an Apple Watch FSA eligible?

Likely not. While your Apple Watch, Garmin, or other tracker may offer you some insight—and maybe even some encouragement—to stay on top of your fitness routine, they are not typically considered medical devices for purposes of FSA and HSA funds.

What are qualified medical expenses for FSA?

Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, insulin, and medical devices. You decide how much to put in an FSA, up to a limit set by your employer.

Can you use FSA for dental?

You can use funds in your FSA to pay for certain medical and dental expenses for you, your spouse if you're married, and your dependents. You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums.

Can I use FSA for massage?

Pay with Your FSA or HSA: Once you have the prescription, you can pay for your massage therapy directly with your FSA or HSA debit card. If your provider doesn't accept these cards, you can pay out of pocket and submit a claim for reimbursement.

Are glasses FSA eligible?

Yes! You can use your FSA funds for eye exams and prescription glasses. You can also use them for prescription contact lenses. And prescription sunglasses are FSA-eligible, too.

What is not considered a qualified medical expense?

Other examples of nondeductible medical expenses are nonprescription drugs, doctor prescribed travel for "rest," and expenses for the improvement of your general health such as a weight loss program or health club fees (the weight loss program is deductible if it is to treat a specific disease).

What proof do I need to deduct medical expenses?

You should also keep a statement or itemized invoice showing:
  • What medical care was received.
  • Who received the care.
  • The nature and purpose of any medical expenses.
  • The amount of the other medical expenses.

What is an ineligible medical expense?

Ineligible expenses. Expenses that have been labeled as ineligible for reimbursement are those that are usually used for personal, cosmetic or general health purposes. Even if these expenses are accompanied by a letter of medical necessity, the treatments also must be permissible under regulatory provisions.

Can I use my FSA for gym membership?

Can you use flexible spending account (FSA) funds to pay for a gym membership or exercise classes? Typically, no. The Internal Revenue Service (IRS) usually doesn't allow funds from an FSA to pay for membership dues at health clubs or gyms.

Are vitamins FSA eligible?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts.

What is not eligible for FSA?

Toothbrushes/Toothpaste/Dental Floss

At first glance, it would seem like dental supplies would be a no-brainer, but these items fall under products that support "general health", and are therefore ineligible.

Is deodorant a FSA?

For example, daily care products, like Vaseline, toothpaste, and deodorant, are not FSA-eligible expenses. Gym memberships and health insurance premiums aren't eligible either.

Do tampons count for FSA?

Feminine hygiene products: Pads, liners, and tampons all qualify as FSA-eligible expenses. The end of the year is a good chance to stock up if you need to. Pain relievers: Over-the-counter pain medications such as Aleve, Tylenol, and generic versions of the drugs are available for purchase through FSA funds.

Is ibuprofen FSA eligible?

Ibuprofen is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Ibuprofen is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

Is sunscreen FSA eligible?

You can use your flexible spending account (FSA) to buy broad-spectrum sunscreens with a minimum SPF of 15 using pretax dollars. A variety of items that offer sun protection, including lip balms, lotions, and moisturizers, might also qualify for these funds. Many FSA plans offer debit cards to make using funds easier.

Are Tums FSA eligible?

You can use your FSA tax-preferred savings account to purchase antacid products including TUMS without a prescription.

Is mouthwash FSA eligible?

Over-the-counter items (OTC) items are not eligible for reimbursement if they are normally used for general health or are used even when there is not a medical condition being treated (such as toothpaste, mouthwash, shampoo, lotion or moisturizer that also contains sunscreen) or are cosmetic in nature (teeth whitening ...