![]() The entire annual contribution is available for reimbursement at the FSA effective date, even if you have not made all of your contributions from your paychecks yet. If you pay out-of-pocket for eligible expenses, you may file a claim for reimbursement after you or your eligible dependents receive health care services or you make eligible purchases. Once enrolled you cannot change your annual contribution limit or cancel participation unless you experience a qualified family status change. Use the PayFlex Savings Calculator to help you determine your estimated annual expenses that could be reimbursed from a Health Care FSA. Comprehensive information on ineligible expenses is available from PayFlex. Note: This list is only an example and is subject to change. Weight reduction programs for general well being.Vitamins/nutritional supplements (only eligible if necessary to treat a specific medical condition and accompanied with a Letter of Medical Necessity).Social activities, such as dance classes, even if recommended by a physician.Marriage counseling, unless performed for purpose of alleviating or preventing a physical or mental defect or illness.Illegal treatments, operations, or drugs.Household help, even if recommended by a physician.Health care expenses paid under any health plan.Hair loss treatment, drugs or transplants.Expenses reimbursed by other services, such as insurance companies.Expenses claimed on your income tax return.The following are examples of some expenses that are not eligible for reimbursement from a Health Care FSA: The cost of a home diagnostic kit, test or device is an eligible medical expense. Examples include, but are not limited to: blood pressure monitors, cholesterol test, colorectal screenings, diabetic equipment and supplies, pregnancy tests.Over-the-counter medications (with a prescription).Vision Care (exams, glasses, contacts, solutions). ![]()
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