FAQs About Using a Health Care FSA

FSA funds in a plan year can only be used for expenses incurred during the plan year. For example, your 2018 FSA funds cannot cover an expense from 2017. However, there is a 90-day runout period at the end of the plan in which you can submit claims for reimbursement for expenses during that plan year.

The Inventory Information Approval System (IIAS) standard is an IRS-approved inventory management standard that allows merchants such as grocery and drug stores to automatically identify whether a particular product in their inventory is an FSA- or HRA-eligible expense. When an employee uses a payment card (such as the Zenefits Card) card at one of these merchants, the IIAS allows the card's processing system to determine which item is eligible, and automatically approves ("autosubstantiates") or declines the purchase of that item with FSA or HRA funds.

Purchases made with an FSA or HRA card that are not already identified by an IIAS, or at a merchant that has not implemented an IIAS, may require manual substantiation by the cardholder.

When you use your Zenefits Card to pay with Health Care FSA funds for something other than an office copay, you may receive an automated email requesting a receipt to prove it's an eligible expense. You'll need to follow the instructions in the email and submit the receipt through your dashboard.

  • If you don't submit your receipt, your card may be deactivated for your FSA. You'll still be able to use your card for any other Flex Benefits accounts. You'll need to submit the receipts through your dashboard for the expense in order to have your FSA reactivated.
  • If an expense isn't eligible, you'll need to repay the amount. Here's how to submit repayment for an ineligible expense.

Health Care FSA funds can be used to pay for copays, deductibles, dental and vision expenses, health care services, prescription drugs, and some over-the-counter health care items for the enrollee and their dependents. Funds used for ineligible expenses may have to be repaid to the account. For Child & Elderly Care FSAs, see these examples of eligible expenses.

Eligible Health Care FSA Expenses

Acupuncture Humidifier (with a doctor's note)
Adaptive equipment (e.g. raised toilet seat)
Hypnosis (with a doctor's note)
Ambulance fees Individual Counseling
Artificial limb or prosthesis Insulin
Artificial teeth Lab work
Bandage tape Lactation consultants
Bandages Lamaze
Birth control pills Laser eye surgery
Blood pressure monitor Massage (with a doctor's note)
Braces (knee, ankle, wrist) Medical abortion
Breast pumps & supplies Medical alert bracelet & current year membership fees
Car adaptations (for persons with disabilities) Mileage (to receive medical care)*
Chiropractic services Non-cosmetic  surgery
Co-insurance Naturopathic  Visits
Contact lens solution Occupational Therapy
Contacts Orthotics
Contraceptives Physical exams
Copays Physical therapy
CPAP  machine Pregnancy test
Crutches Prenatal vitamins (with a doctor's note)
Deductibles Prescription drugs
Dental services (excludes veneers and other cosmetic procedures) Prescription glasses
Diabetes testing supplies Psychologist
Diabetic supplies Reading glasses
Doctor visits Saline Nasal Spray
Drug addiction treatment Service animals
Eye drops Speech Therapy
Eye exams Sunscreen SPF  30  or greater (proof of SPF required)
Fertility treatment Telephone equipment for hearing & visually impaired
First aid kits Thermometer
Flu shots Vaccinations
Hearing aids Walker
Home medical equipment Wheelchair & repair
Hormone therapy X-rays
Hospital services (including meals and lodging)
Review a list of common eligible expenses in Zenefits, or  IRS Publication 969 for a comprehensive list.

*You must submit a image/screen shot of the miles you drove with your claim 

Ineligible Health Care  FSA  Expenses

  • Any expenses that are merely beneficial to general health or aesthetics, such as vitamins, toothpaste, cosmetic surgery, or weight loss programs.
  • Insurance premiums are typically not an eligible FSA expense.
  • Non-prescription medication (over the counter drugs) are not eligible without a doctor's note of medical necessity.
  • Massages are ineligible unless deemed a medical necessity with a doctor's note.

    Still need our help? Our support team is waiting to help you. Contact us