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Ineligible Expenses

The IRS does not allow the following expenses to be reimbursed under the Unreimbursed Medical Spending Account. Expenses to promote general health are not eligible expenses unless prescribed by a physician for a specific medical ailment. This not an all-inclusive listing.

  • Baby-sitting and child care
  • Canceled appointment fees
  • Contact lens insurance
  • Cosmetic surgery/procedures
  • Dance/exercise programs
  • Diaper service
  • Discounts/write-offs
  • Electrolysis
  • Exercise equipment*
  • Eyeglass insurance
  • Fitness programs
  • Hair loss medication
  • Hair transplant
  • Health club dues
  • Herbs and herbal medicines
  • Homeopathic drugs
  • Illegal operation or treatment
  • Insurance premiums
  • Insurance premium interest charge
  • Lamaze class
  • Marriage counseling
  • Massage therapy**
  • Maternity clothes
  • Personal trainer
  • Prescription drug discount program premiums
  • Retin A*
  • Rogaine*
  • Special foods* (cost difference of common product)
  • Student health fee
  • Supplements*
  • Swimming lessons
  • Teeth whitening/bleaching
  • Toiletries, toothpaste, etc...
  • Vision discount program premiums
  • Vitamins
  • Weight loss programs**

* Generally ineligible; in limited situations, eligible only with Doctor’s certification identifying a qualifying medical diagnosis, medical necessity, and length of treatment program.

** Eligible only with Doctor’s certification identifying the physical nature of the medical condition and length of treatment program. Massage therapy for the sole purpose of tension/stress relief does not qualify as an eligible expense.