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IRS Publication 502
You can use IRS Publication 502 as a general list of eligible health care expenses. Publication 502 is not specific for Flexible Spending Accounts (FSAs). It is generally used by individual taxpayers to determine the health care expenses they may claim on their income tax returns.

This means that not everything there applies to FSAs.
  • To receive reimbursement from an FSA, you have to incur an expense during the time that you're covered by the FSA. An expense is incurred at the time you receive the health care or service. This is not when you're billed, or pay, for the expense. (The Schedule A deduction allows for expenses paid during the year.)
  • Health insurance premiums and long-term care (LTC) premiums and care are not eligible FSA expenses. (The Schedule A deduction allows for premiums and LTC expenses.)
  • Certain over-the-counter (OTC) health care items are eligible FSA expenses. However, you need a prescription for OTC drugs and medicines in order to receive reimbursement from the FSA. (The individual taxpayers income tax return does not allow a deduction for OTC items, drugs and medicines.)

Note: All spending accounts have limitations and may have certain exclusions, please refer to your employer's plan documents for specific information about your plan.

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 IRS Publication 502
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