Limited Eligible Expenses

Find out more about what’s eligible and not eligible under your plan.

The Limited FSA allows dental, vision and preventative care expenses to be paid for on a tax-free basis. The expenses are limited so that an employee can be enrolled in a Health Savings Account at the same time. Reimbursements are only issued for eligible expenses incurred by the employee, their spouse or their eligible dependents. Expenses that occur before the beginning of the FSA plan year are not eligible.

Services and items that are eligible

Sample list of eligible expenses with a Limited FSA. Go to the EBIA Health Care Expense Table to see a complete list – log in to the participant portal and click “Tools & Support”.

Dental and Orthodontia Expenses

  • Dental visits
  • Dental treatment
  • Dental co-insurance & co-pays    
  • Orthodontia
  • Dental surgeries
  • Dental deductibles
  • Teeth cleanings

Orthodontia deductibles

  • Most dental procedures
  • Optical Expenses
  • LASIK surgery
  • Optical deductibles
  • Optical operations/surgery    
  • Most optical procedures
  • Radial keratotomy
  • Optical co-insurance & co-pays    
  • Contact lenses
  • Contact lens solution
  • Eye exams/eyeglasses

Services and items that are not eligible

Sample list of ineligible expenses with a Limited FSA. Go to the EBIA Health Care Expense Table to see a complete list – log in to the participant portal and click “Tools & Support”.

  • Medical expenses that are not dental or vision related
  • Cosmetic dental services
  • Chiropractic
  • Cosmetic optical services
  • Mental health expenses
  • Insurance premiums