The FSA Eligible Medical Expense List

For example, if your baby requires a special formula to treat an illness or disorder. Please note: only the difference in cost between the special formula and routine baby formula can be reimbursed.

Refer to the LMN Requirements for eligibility criteria.

For example, behavioral therapy used to treat autism, learning disabilities, and other behavioral conditions.

Refer to the LMN Requirements for eligibility criteria.

For example, birth control that is prescribed by a physician and/or devices (e.g., IUD, Norplant insertion or removal).

Examples include Emergency Contraception (morning after pill) and Spermicides or products with spermicides.

Blood storage is an eligible expenses if you are storing blood for the use of a scheduled elective surgery. Storage fees should be temporary and should not exceed six months. The expense can only be reimbursed after services are rendered.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

For medical conditions.

Refer to the LMN Requirements for eligibility criteria.

Breast pump bras, nursing shawl/cover up, nursing bras and nursing shirts/dresses/garments are not eligible

For example, modifications such as special hand/pedal controls or wheelchair accessible modifications may be eligible.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

Childbirth classes such as Lamaze and Bradley are eligible for reimbursement. Does not include:

• Breastfeeding Classes
• Newborn or New Infant Care Classes
• Parenting Classes

Services performed by a chiropractor are eligible such as:

• Spinal Manipulation
• TENS Treatment
• TENS Unit for home use
• Ultrasounds

Note: Amounts paid for chiropractic services rendered in connection with the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body are qualifying. Any ancillary services (e.g. massage therapy) are not eligible, unless prescribed by a physician. See Massage Therapy for more information.

Refer to the LMN Requirements for eligibility criteria.

Includes male or female condoms. Eligibility for this product is distinguished from other birth control methods as this product is used for the prevention of disease.

Copayments are expenses for Healthcare Services (medical, dental, vision, etc.) incurred by you, your spouse, or qualified dependent at the time services are rendered. Copayments, coinsurance, or healthcare plan deductible are eligible for reimbursement. Health Insurance premiums are not eligible. See Health Insurance Premiums for more information.

For example:

• Teeth whitening or bleaching
• Porcelain venners
• Bonding

Expense may qualify if resulting from a medical condition. Cosmetic procedures to improve or enhance appearance do not qualify.

Refer to the LMN Requirements for eligibility criteria.

Eligible expenses include psychotherapy, bereavement and grief counseling, sex counseling, etc.

Life coaching, career counseling and marriage counseling do not qualify.

Eligible expenses include replacement parts, repairs and maintenance. Distilled water is not eligible.

Neither adult or child.

Examples include:

• Dimetapp
• Sudafeds

Note: Expense must not have been reimbursed by secondary insurance or any other source to be eligible.

Includes expenses incurred for the prevention and alleviation of dental disease. Preventive treatment includes the services of a dental hygienist or dentist for such procedures as teeth cleaning, application of sealants, and fluoride treatments to prevent tooth decay. Treatment to alleviate dental disease includes X-rays, fillings, braces, extractions, dentures, and treatment of other dental ailments and implants. Cosmetic Services/Treatments whose primary function is to improve one’s general appearance (e.g. teeth whitening, veneers) are not eligible.

Glucose monitors/batteries, testing strips, syringe with needle, etc. Note: Diabetic socks are eligible, but only the cost difference between the diabetic socks and regular socks will be reimbursed. You are responsible for providing third party documentation of cost comparisons with each request for reimbursement.

Types of expenses covered: Balmex, Desitin.

Diapers or Diaper services that are used to relieve the effects of a diagnosed medical condition does qualify.

Note: Disposable/Cloth diapers or a diaper service for care of a newborn does not qualify.

Refer to the LMN Requirements for eligibility criteria.

This includes but is not limited to:

• Charges by your physician for completion of medical paperwork or documentation, etc.
• Physician tele-advice, including email communication

Please note: Retainer fees paid to a provider are not eligible. Retainer fees paid to a provider include any fees paid on a scheduled basis (e.g. monthly) to a provider whether or not treatment is received to retain provider for services. These are commonly known as concierge fees, access fees, or preferred treatment fees.

In example, a drug testing kit may qualify if used to treat a medical condition such as drug addiction.

Refer to the LMN Requirements for eligibility criteria.

Includes products used to prevent or alleviate disease of the ear such as ear wax removal products or swimmer’s ear drops.

Expense may qualify if incurred to treat a medical condition. For example, to protect surgically implanted ear tubes.

Refer to the LMN Requirements for eligibility criteria.

Examples include:

• Pedialyte
• Ceralyte
• Infalyte
• Oral Rehydration Salts

Refer to the LMN Requirements for eligibility criteria.

Qualifies only if required to treat an illness (such as obesity) diagnosed by a physician. The purpose of the expense must be to treat the disease rather than to promote general health, and the expense must not have been incurred in absence of a medical condition. For example, the purchase of home health equipment (e.g. weight bench) to gain muscle mass for general health, but not to treat disease that affects the body’s muscular structure does not qualify.

Refer to the LMN Requirements for eligibility criteria.

Includes prescription sunglasses and reading glasses (even those purchased over-the-counter). Eyeglass frames only without prescription lenses are not eligible. Eyewear Protection Plans are not an eligible expense.

Charge card fee is an eligible expense. Fees provider charge to complete paperwork. Finance charges, late fees and cancellation fees are not eligible.

Refer to the LMN Requirements for eligibility criteria.

Will qualify to the extent that procedures are intended to overcome an inability to have children and are performed on you, your spouse, or other qualified dependent. Examples are IVF (in vitro fertilization—including temporary storage of eggs or sperm), surgery (including an operation to reverse prior surgery preventing someone from having children), shots, treatments, and GIFT (gamete intrafallopian transfer). Expenses paid to or for an in vitro surrogate usually do not qualify, nor do egg donor expenses unless preparatory to a procedure performed on you, your spouse, or other qualified dependent.

Examples include:

• Antiseptics
• Bandages
• Cold/Hot Packs
• Joint Supports
• Liquid bandages
• Peroxide
• Rubbing Alcohol
• Splints
• Thermometers

Qualifies only if required to treat an illness (such as heart disease) diagnosed by a physician. The purpose of the expense must be to treat the disease rather than to promote general health, and the expense must not have been incurred in absence of a medical condition. For example, membership with a fitness studio (e.g. spin-cycle studio) to perform cardio fitness exercises to maintain one’s general health, but not to treat disease that affects the body (e.g. heart disease) does not qualify.

Refer to the LMN Requirements for eligibility criteria.

Must be prescribed, even if available without a prescription. Examples include:

• Act
• Colgate Phos-flur

Examples include:

• Arch and insole supports
• Bunion, blister and corn treatments
• Callous removers

Testing done to detect/diagnose a medical condition or determine possible defects.

Refer to the LMN Requirements for eligibility criteria.

Expenses incurred to purchase devices and/or product whose primary purpose is to prevent or monitor a medical condition. Examples of such devices/products are:

• Blood Glucose Meter
• Glucose Test Strips

Only in very limited circumstances would fees paid to a gym/health club qualify. Qualifies only if required to treat an illness diagnosed by a physician. The purpose of the expense must be to treat the disease rather than to promote general health, and the expense must not have been incurred in absence of a medical condition. Prepaid gym memberships are not eligible unless consistent with the prescribed length of treatment or for the duration of the plan year, whichever is less. Ancillary fees such as personal trainer fees or any other additional fee for products or services will only be reimbursed if consistent with prescribed treatment plan. For more information, please refer to the FSA Summary Plan Description.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

Examples include anti-bacterial gel or wipes, such as:

• Germ-X
• Nexcare
• Purell

This does not include soaps, lotions or other personal hygiene items that include sanitizing ingredients; they are not eligible.

Health Insurance Premiums or retainer fees paid to a provider are not eligible. Insurance premiums include, but are not limited to COBRA, Tri-Care, or Medi-Care premiums. Retainer fees paid to a provider include any fees paid on a scheduled basis (e.g. monthly) to a provider whether or not treatment is received to retain provider for services. These are commonly known as concierge fees, access fees, or preferred treatment fees.

You may include the cost of a hearing aid and batteries, repairs, and maintenance needed to operate. Implant devices such as Cochlear implants are eligible.

Devices that monitor the heart rate will qualify as long as the product’s primary function is to monitor the heart rate. This does not include watches or activity trackers. See Heart Rate Monitor Watches for eligibility criteria.

Watches or activity trackers (e.g., Fitbit) may be eligible if the product’s primary purpose is to monitor a specific medical condition.  Refer to the LMN Requirements for eligibility criteria.

Nontraditional healing treatments including dietary substitutes and drugs and medicines provided or recommended by holistic, naturopathic, or alternative healers may be eligible if provided to treat a specific medical condition or illness diagnosed by a physician. The purpose of the expense must be to treat the disease rather than to promote general health, and the expense must not have been incurred in absence of a medical condition.

The treatments must be legal and administered by a professional. Dietary Substitutes, Vitamins, and Drugs and Medicines recommended by an holistic, naturopathic, or alternative healers may qualify.

Refer to Special Foods, Vitamins, Supplements, and the LMN Requirements for eligibility criteria.

May qualify if undertaken to accommodate a disability. If the improvement is permanent and increases the value of the property, the expense will qualify only to the extent that the improvement cost exceeds the increase in property value. If the improvement doesn’t increase the property value at all, then the entire cost may qualify. Items that usually don’t increase property value include constructing entrance or exit ramps, widening or modifying doorways or hallways, installing railings or support bars to bathrooms, lowering or modifying kitchen cabinets or equipment, moving or modifying electrical outlets and fixtures, installing porch lifts, modifying fire alarms or smoke detectors, modifying other warning systems, and modifying stairways.

Refer to the LMN Requirements for eligibility criteria.

Items purchased for the home are not necessarily eligible if the physician is merely recommending the type of therapy (e.g., hyperbaric chamber, tanning bed, etc.) The LMN must specifically state that the item must be purchased for home use.

Refer to the LMN Requirements for eligibility criteria.

For treatment of medical condition.

Refer to the LMN Requirements for eligibility criteria.

Expenses of inpatient care (including meals for the patient and lodging) at a hospital or similar institution qualify if a principal reason for being there is to get medical care. Examples include hospitalization, treatment facility, health institutes, subacute or step-down facilities.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

Will qualify if performed by a professional to treat a medical condition, or for other medical purposes (e.g., smoking cessation); won’t qualify if for general stress relief, personal enjoyment, or other personal purposes.

Products that are used to relieve the effects of a diagnosed medical condition does qualify.

Examples include:

• Benadryl
• Cortaid
• Calamine

Amounts paid for unprescribed drug is not reimbursable.

May qualify if used to treat or alleviate a specific medical condition, and if the expense would not have been incurred “but for” the condition. Might also qualify where used to prevent a specific illness that is imminent (e.g., if a household member has a contagious disease).

Refer to the LMN Requirements for eligibility criteria.

If prescribed by a physician, tuition fees paid to a special school and tutoring fees paid to a specialty trained teacher for a child who has learning disabilitIes will qualify.

Refer to the LMN Requirements for eligibility criteria.

Legal fees may qualify as medical care if they bear a direct or proximate relationship to the provision of medical care. For example, if the medical care could not have been provided without legal assistance.

Refer to the LMN Requirements for eligibility criteria.

May qualify if used to treat or alleviate a specific medical condition, and if the expense would not have been incurred “but for” the condition. Might also qualify where used to prevent a specific illness that is imminent (e.g., if a household member has a contagious disease).

Refer to the LMN Requirements for eligibility criteria.

Qualifies only if required to treat an illness diagnosed by a physician. The purpose of the expense must be to treat the disease rather than to promote general health, and the expense must not have been incurred in absence of a medical condition. Note: Membership fees paid to a spa facility not eligible for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

The following expenses qualify as eligible when incurred in relation to any surgical procedure related to breast cancer (e.g. mastectomy/lumpectomy).

Breast Reconstruction: Surgery must be performed following a mastectomy for cancer. Expenses relative to the surgery and prosthesis are eligible.

Clothing: Prosthetic bras and clothing with built-in prosthetic bras purchased after any surgical procedure related to breast cancer are eligible for reimbursement.

Supporting documentation included with the claim for reimbursement should clearly indicate that the expense was incurred as a result of a mastectomy/lumpectomy for breast cancer.

Note: Meals that are part of the cost of inpatient care at a hospital or similar institution will qualify if a principal reason for the recipient’s being there is to receive medical care. The meals must be furnished as a necessary incident to the individual’s continuing medical care.

Refer to the LMN Requirements for eligibility criteria.

Note: Meals that are part of the cost of inpatient care at a hospital or similar institution will qualify if a principal reason for the recipient’s being there is to receive medical care. The meals must be furnished as a necessary incident to the individual’s continuing medical care.

Refer to the LMN Requirements for eligibility criteria.

For example, fees associated with transferring medical records to a new medical practitioner will qualify.

Watches with medical alert identifications are not eligible.

Expenses paid to a computer data bank that retrieves and furnishes the information upon request to an attending physician is eligible.

Expenses incurred to purchase devices and/or product whose primary purpose is to prevent or monitor a medical condition. Examples of such devices/products are:

• Blood pressure monitor
• Heart rate monitor
• Syringes
• Glucose test strips
• Blood glucose meter
• Ovulation kit
• Pregnancy test

Examples may include but are not limited to:

• Midol
• Pamprin
• Premysyn PMS

Note: Doula’s may also qualify if providing medical care for the mother and/or newborn.

Examples may include but are not limited to:

• Advil Migraine
• Excedrin Migraine
• Motrin Migraine

Mileage may be claimed for expense for travel from your starting destination (e.g. work/home) to place of medical treatment (e.g. doctor’s office). The applicable medical standard mileage medical care rate issued by the IRS each year shall be used in determining per mile reimbursement rate. Please refer to claims reimbursement on the FSA webpage for more information.

Refer to the LMN Requirements for eligibility criteria.

Examples may include but are not limited to:

• Bonine
• Dramamine
• Marizine

For example, a special mouthwash recommended by a medical practitioner for the treatment of gingivitis might qualify.

Refer to the LMN Requirements for eligibility criteria.

This does not include mouth guards used for sports activities.

Wages, employment taxes, and other amounts you pay for in-home or facility nursing services (including extra costs for nurses’ room and board, if applicable) may qualify. The attendant doesn’t have to be a nurse, so long as the services are of a kind generally performed by a nurse. These include services connected with caring for the patient’s condition, such as giving medication or changing dressings, as well as bathing and grooming. But if the person providing nursing services also provides household and personal services, the amounts must be accounted for separately—only those for nursing services qualify. The care must be received by you, your spouse, or qualified dependent.

Note: Newborn nursing care absent a medical condition does not qualify.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

This does not include mouth guards used for sports activities.

Physical exams (e.g. sport physical) are not eligible.

Refer to the LMN Requirements for eligibility criteria.

Examples include:

• Anbesol
• Biotene Dry Mouth Mouthwash
• Orajel
• Oral Balance

Includes surgical, hospital, and laboratory services as well as transportation expenses for organ donors.

This includes, braces, invisalign and other aligners. A copy of the Contract or Financial Arrangement for Orthodontia Treatment for you, your spouse or qualified dependent may be attached to you initial claim form in which reimbursement is requested. If you do not have a contract or financial arrangement, you may submit a statement of service for each orthodontia expense incurred. For more information, please refer to the FSA Summary Plan Description.

Only shoes custom-fitted to the wearer’s feet are eligible. Only the cost difference between the custom-made shoe and a regular comparable shoe is reimbursable. Mass produced shoes are not eligible. You will be responsible for providing third party documentation of cost comparisons with each request for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

Custom-made and over-the-counter inserts are eligible for reimbursement.

RX or LMN from doctor required.

Examples include:

• Advil
• Aspirin
• Tylenol

For example, may be eligible if the diagnosis of impotence is due to a medical condition, such as diabetes, post-prostatectomy complications, or spinal cord injury.

Refer to the LMN Requir#lmn-requirementsements for eligibility criteria.

Only in very limited circumstances would fees paid to a personal trainer qualify. Expenses must be incurred to treat a specific medical condition (e.g., rehabilitation after back surgery or treatment for obesity). The expense must not have been incurred “but for” the disease. (For example, if you contracted with a personal trainer before medical condition, then the fees would not qualify). When treatment is no longer needed, the fees no longer qualify. Prepaid trainer fees are not eligible unless consistent with the prescribed length of treatment or for the duration of the plan year, whichever is less. Treatment plan prescribed by physician must specify frequency of training sessions prescribed on a weekly or monthly basis.

Refer to the LMN Requirements for eligibility criteria.

Examples may include but are not limited to:

• Neurological Therapy
• Orthopedic Therapy
• Rehabilitation

Refer to the LMN Requirements for eligibility criteria.

Amounts paid for kits to determine if you are pregnant or not are eligible.

Obstetricians routinely recommend prenatal vitamins for the health of unborn children. If taken during pregnancy (a medical condition), prenatal vitamins would be considered primarily for medical care. Vitamins taken at other times do not qualify.

Fees paid to get access to drugs at a reduced cost are not eligible for reimbursement. However actual costs paid for prescription drugs are an eligible expense.

Purchasing/Importing prescription drugs from other countries generally will violate federal law. However, a drug or medicine may qualify for reimbursement if:

1. it is purchased and consumed in the other country and is legal in both that country and the U.S. or
2. the FDS announces that it can be legally imported by individuals.

Note: Claims for reimbursement for prescriptions ordered from (e.g. ordered/purchased online from Canadian pharmacy) or imported from another country must include a copy of prescription from a licensed physician in the U.S. to be eligible for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

Colonoscopy, Blood Pressure, Diabetes and Cancer Screening.

Refer to the LMN Requirements for eligibility criteria.

Prolotherapy or injection therapy for joint pain is eligible.

RX or LMN from doctor required.

Refer to the LMN Requirements for eligibility criteria.

Amounts paid for required training to a be psychoanalyst cannot be claimed.

Refer to the LMN Requirements for eligibility criteria.

If a physician requires radon mitigation in your home due to a medical condition caused or aggravated by an unacceptable level of radon, some expenses may be eligible. However, if the home’s value is increased due to the mitigation, some or all of the expenses may not be reimbursable. The cost of the test to determine if radon is present in the home is not eligible.

Refer to the LMN Requirements for eligibility criteria.

See Eyeglasses.

Only tax imposed on qualified medical care services and products are eligible. This includes local, sales, service, and other taxes.

Refer to the LMN Requirements for eligibility criteria.

Expenses of buying, training, and maintaining a service animal to assist an individual may qualify if the individual can show that he or she is using the service animal primarily for medical care to alleviate a mental defect or illness.

Cosmetic-type shampoos are not included. Examples include:

• Denorex
• DHS Tar Shampoo
• Nizoral

Shipping and handling charges for medical needs, such as mail-order prescriptions and eligible over-the-counter items are eligible.

Examples may include but are not limited to:

• Sudafed
• Sinutab
• Netipot

Examples may include:

• Nytol
• Sominex
• Tylenol PM
• Unisom

Note: May qualify if used to treat a specific illness or ailment and if the foods do not substitute for normal nutritional requirements. Food modified for special diets (e.g., gluten-free) may also qualify, but only to the extent that the cost of the special food exceeds the cost of commonly available versions of the same product. You are responsible for providing third party documentation of cost comparisons with each request for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

Fees for temporary (12 months or less) storage may qualify, but only to the extent necessary for immediate conception. Storage fees for undefined future conception are not eligible for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

May be eligible if there is an existing disease that the stem cells are intended to treat. Stem Cell storage fees should be temporary and not exceed 12 months. The expense can only be reimbursed after services are rendered.

Expenses incurred for you, your spouse, or qualified dependent to receive sterilization procedures that prevent one from having children, such as a vasectomy or tubal ligation are eligible.

Refer to the LMN Requirements for eligibility criteria.

Expenses incurred for you, your spouse, or qualified dependent to reverse the effects of a sterilization procedures that prevented one from having children, such as a vasectomy or tubal ligation are eligible.

Will qualify if used to treat a sunburn (and not as regular skin moisturizers). Examples include:

• Aloe Vera
• Solarcaine

Clothing that offers at least 30+ UVA and UVB sun protection for individuals. Only the cost difference between this specially constructed clothing and non-specialized clothing will be reimbursed. You are responsible for providing third party documentation of cost comparisons with each request for reimbursement. The receipt must show the purchase was from an accredited sun-protective company such as Solumbra® or Coolibara®.

Refer to the LMN Requirements for eligibility criteria.

Sunscreen products with an SPF 15 or higher are eligible. Lotions or cosmetics that contain ingredients to protect you from the sun and/or list a SPF are not eligible.

Examples include calcium, fiber, lactose intolerance, mineral, herbal and hormone.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

The cost difference associated with purchasing or repairing special telephone equipment versus a standard telephone for you, your spouse or dependent with a hearing impairment are eligible for reimbursement. You are responsible for providing third party documentation of cost comparisons with each request for reimbursement.

Electric toothbrushes/water picks require LMN. Regular toothbrushes are not an eligible expense.

Transportation/Travel expenses incurred to treat or alleviate a disease may qualify. Transportation/Travel expenses include the cost incurred to travel by taxi, bus, train, airplane and ambulance. For travel by car (rental or owned) only mileage can be claimed in accordance with the medical care mileage rate established by the IRS each year. See ‘Mileage’ for more information.

Travel expenses incurred for lodging at a facility other than a hospital or similar institution (e.g. hotel) up to $50.00 per night, per individual (up to 2 individuals/$100.00 per night) may qualify. Meals are an eligible expense.

Transportation/Travel expenses may qualify if the following conditions are met:

• transportation/travel expense is primarily for and essentially to medical care
• medical care is provided by a physician in a licensed hospital or medical care facility equivalent to a licensed hospital
• the lodging isn’t lavish or extravagant (e.g. luxury hotels)
• there is no significant element of personal pleasure, recreation, or vacation included in the travel

Transportation/Travel expenses for a companion of an individual who meets above conditions may qualify if companion meets one of the following criteria:

• parent of child that must be present at time of medical care
• nurse or other person who gives injections, medications, or other treatments required by individual who is obtaining medical care and is unable to travel alone
• individual who travels to visit a mentally ill dependent, if such visits are recommended as part of treatment

Please refer to the FSA Summary Plan Description for more information.

Refer to the LMN Requirements for eligibility criteria.

Will qualify if used as a diagnostic tool to determine fetal health and development. Will not qualify if for other purposes (e.g., to obtain prenatal snapshots).

May be eligible if there is an existing or imminently probable disease that the umbilical cord blood is intended to treat. For example, the cost of storing cord blood where a newborn has a birth defect and where the cord blood would be needed in the near future might qualify. Blood storage fees should be temporary and not exceed 12 months. The expense can only be reimbursed after services are rendered.

Refer to the LMN Requirements for eligibility criteria.

Includes expenses incurred for the prevention and alleviation of vision disease and/or procedures/products to corrective vision. Preventive treatment includes the services of a optometrist or ophthalmologist for such procedures as eye exams, contact lens fitting, etc. Treatment to correct vision includes vision therapy, eyeglasses, contact lens, corrective vision surgery, etc. Cosmetic Services/Treatments whose primary function is to improve one’s general appearance (e.g. non prescription glasses/contacts) are not eligible. Eyewear Protection Plans are not an eligible expense.

Examples include:

• Lasik (laser) eye surgery
• Permanent contact lenses
• Radial Keratotomy

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.

Examples may include:

• Compound W
• Dr. Scholl’s Clear Away
• Wart-off

Examples may include:

• Bariatic Surgery
• Gastric Bypass
• Lap Band Surgery

Weight-loss programs will qualify if recommended by a physician to treat a specific medical condition (such as obesity, heart disease, or diabetes) and not simply to improve general health. However, food associated with a weight-loss program (such as special pre-packaged meals) do not qualify. Drugs and medicines used to induce weight loss must be prescribed by a physician to be eligible.

Refer to the LMN Requirements for eligibility criteria.

Qualifies only if required to treat or alleviate an illness diagnosed by a physician. Items purchased for the home are not necessarily eligible if the physician is merely recommending the product (e.g., tanning bed, whirlpool bath, etc.). The LMN must specifically state that the item must be purchased for home use. Only the cost difference between the whirlpool bath and a standard bath will be reimbursed. You are responsible for providing third party documentation of cost comparisons with each request for reimbursement.

Refer to the LMN Requirements for eligibility criteria.

Refer to the LMN Requirements for eligibility criteria.