Eligibility List

This list does not include prescription drugs or brand name items; please use generic search terms.

Eligibility for various goods and services may change at any time. Please search to ensure eligibility prior to each purchase.

For more information on Dependent Care FSA, please click here for plan guidelines.

- Eligible with a detailed receipt      - Eligible with appropriate documentation      - Not eligible

A "detailed receipt" includes ALL of the following: date of service, patient name, provider name, amount, and service or expense.