Eligible/Ineligible Benefit Expenses

Click here to view or download the Employee Per Pay Period Contributions document

Most of your out-of-pocket healthcare expenses can be paid with pre-tax dollars you set aside for the plan year. Expenses such as:

  • Office co-pays and deductibles under your medical, dental and vision plans
  • Prescription drug co-pays (at the pharmacy or via the mail order drug program)
  • Out-of-Pocket Medical expenses
  • Out-of-Pocket Dental expenses (including Orthodontia expenses)
  • Vision co-pays & differences in the allowable amounts (such as frame allowance)
  • Chiropractic & Acupuncture expenses
  • Bandages, contact lens solution

It is important to note that over the counter medications may not be paid for using FSA funds unless accompanied by a written prescription from a physician.

Please visit the FSA administrator website for more details about eligible and ineligible expenses and for information on how to obtain reimbursement for qualified expenses.

The table below illustrates expenses that may be eligible for reimbursement under the Dependent Care Flexible Spending Account. Be sure to check online for detailed information.

Dependent Care Expense Matrix

Expense Description Eligible? Substantiation Processing Notes
After school care Yes Standard  
Care for child 13 or older No N/A  
Care for disabled or elderly dependent Yes Standard  
Care for person not residing w/participant No N/A  
Childcare placement agency fees No N/A  
Early morning care Yes Standard  
Fieldtrip/activity fees No N/A  
Lessons in lieu of care No N/A  
Materials fees No N/A  
Meals No N/A  
Nanny Yes Standard Only actual care of dependents is eligible
Overnight camp No N/A  
School tuition for kindergarten or above No N/A  
Sick child facility Yes Standard  
Summer day camp Yes Standard  
Transportation expenses to/from care No N/A  
Tuition for pre k/nursery school Yes Standard  

When used properly, the Cafeteria Plan will save you money!