Medical, Dental, or Vision Office Visits: FSA Eligibility

Medical, dental, or vision office visits are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA) or a limited care flexible spending account (LCFSA). Medical, dental, or vision office visits are not eligible with a dependent care flexible spending account (DCFSA).

What are medical, dental, or vision office visits?

Medical, dental and vision office visits are part of normal, routine healthcare as well as part of responding to health concerns as they arise. All visits are eligible for reimbursement with consumer-directed healthcare accounts.

What is a medical office visit?

A medical office visit is also known as a physician office visit, doctor visit, doctor appointment, or checkup. A medical office visit can be routine, such as an annual physical, or as-needed, such as when a patient has complaints about symptoms which may indicate an illness, disease or medical condition. A medical office visit normally happens during the daytime, over working hours, and involves a conversation between a patient and a physician. The physician listens to the patient's complaints and asks questions to understand the patient's lifestyle and possible health issues, then orders tests or makes recommendations as appropriate.

What is a dental office visit?

A dental office visit is also known as a dentist's appointment or annual dentistry checkup. Dental office visits may also be routine or as-needed. Routine office visits include follow ups after medical procedures and teeth cleanings. As-needed visits include issues like dental pain, gum pain, or discoloration.

What is a vision office visit?

A vision office visit is more commonly known as an eye doctor or ophthalmologist visit. A vision office visit can be as-needed or routine, but is most commonly a routine visit. Routine visits to the eye doctor are for vision checks and for updating prescriptions for eye glasses and contact lenses. An as-needed visit to the eye doctor might be to discuss options for corrective eye surgery or to address any issues with vision or pain in the eye area.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)

Eligible

Eligible with Rx

Eligible with LMN

Not Eligible

 


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