Changes for flex spending, tax-free medical accounts

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This is the time of year many companies offer open-
enrollment for flexible spending accounts. 

This year, there are some changes. 

Click here for all healthcare changes.

Here is what you need to know:

Over-the-Counter Eligible Expenses without a Prescription

  • Bandages
  • Eye Care (contact lens solution, lubricant drops, patches)
  • Family planning (condoms, contraceptive creams, pregnancy tests, ovulation prediction kits, etc.)
  • Home diagnostic tests or kits (blood pressure, cholesterol, diabetes, colorectal cancer, HIV, urine test, thermometers, etc.)
  • Incontinence products (Depends, Serenity pads, etc.)
  • Joint-support Bandages and medical hosiery (knee supports, elbow supports, etc.)
  • Vaporizers and humidifiers

Over-the-Counter Medicines Eligible when Prescribed by a Licensed health Care Professional

  • Acid Controllers
  • Allergy & Sinus
  • Antibiotic Products
  • Anti-Diarrheals
  • Anti-Gas
  • Anti-Itch & Insect Bite
  • Anti-parasitic Treatments
  • Baby Rash ointments/Creams
  • Cold Sore Remedies
  • Cough, Cold & Flu
  • Digestive Aids
  • Feminine Anti-Fungal/Anti-itch
  • Hemorrhoidal Preps
  • Laxatives
  • Motion Sickness
  • Pain Relief
  • Respiratory Treatments
  • Sleep Aids & Sedatives
  • Smoking Cessation Products
  • Stomach Remedies

Over-the-Counters Not Reimbursable (merely beneficial to good health)

  • Cosmetics (makeup, lipstick, cotton swabs, cotton balls, baby oil, etc.)
  • Denture Care (e,g. cleansers)
  • Hair care (color, shampoo, conditioner, brushes, hair-loss products e.g. Rogaine)
  • Homeopathic medicines
  • Nail Care and personal grooming items (scissors, nail files, etc.)
  • Nutritional and dietary supplements (bars, milkshakes, power drinks, etc.)
  • Personal Hygiene (deodorant, soap, body powder, shaving cream, razors, feminine care, sanitary products)
  • Routine dental care (toothpaste, toothbrush, electric toothbrush, floss, mouthwash including antibacterial mouthwash and fluoride rinse, breath strips, teeth-whitening)
  • Skin care (skin and body moisturizing lotion, lip balm, etc.)
  • Sleep aids (oral medications, snoring strips, stimulants, etc.)
  • Vitamins
  • Weigh-reduction aids (Slimfast, appetite suppressants, water-retention products, etc.)

Exceptions – May be Eligible for Reimbursement when prescribed at the direction of a doctor.  A doctor’s statement of medical necessity is required.  Check with your plan administrator:

  • Homeopathic medicines prescribed by a doctor
  • Supplements prescribed by a doctor
  • Sleep aids prescribed by a doctor
  • Vitamins prescribed by a doctor
  • Weight-reduction products prescribed by a doctor


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