Dental & Vision FSA/HRA

Eligible Expenses

Artificial Teeth

Bifocals

Braces

Bridges

Co-insurance (Dental and Vision)

Contact Lenses (with prescription)

Contact Lens Equipment and Materials

Co-payment (Dental and Vision)

Corneal Keratotomy

Crown (non-cosmetic)

Deductible (Dental and Vision)

Dental Emergency Kit

Dental Procedures

Dental Reconstruction

Dental Sealants

Dental Reconstruction (including implants)

Dental Veneers (non-cosmetic and with Letter of Medical Necessity)

Dental, Oral and Teething Pain Products (OTC with prescription)

Dentures, Equipment and Materials

Eye Drops (OTC with prescription)

Eye Exams

Eye Related Equipment

Eye Surgery

Eye Treatment Medications (with prescription)

Eyeglasses (with prescription)

Fluoridation Services (with Letter of Medical Necessity)

Fluoride Rinse (with Letter of Medical Necessity)

Fluoride Treatment

Guide Dog or Other Service Animal

Insurance Premiums for Dental Care (HRA only & must be paid after-tax)

Laser Eye Surgery

Occlusal Guard

Office Visits (Dental and Vision)

Operations (Dental and Vision)

Ophthalmologist

Optometrist

Orthodontia (Braces, Retainer and Equipment)

Ortho Keratotomy

OTC Medicine with a prescription from an Eye Doctor or Dentist

Radial Keratotomy

Reading Glasses (OTC)

Safety Glasses (with prescription)

Sales tax, shipping and handling fees (for any eligible expense)

Sunglasses (with a prescription)

Vision Care

Vision Correction

Visual Evoked Potential (VEP) Test

For official IRS guidelines and restrictions on eligible expenses please visit https://www.irs.gov/uac/about-publication-502