Limited-Purpose FSA Eligible Expenses

Find out more about what’s eligible and not eligible under your Limited-Purpose FSA plan.

A Limited-Purpose 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 (HSA) 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


Here's a sample list of eligible expenses with a Limited-Purpose FSA. Use the FSA Store tool (above) to see if an item is eligible or log in to the participant portal and click Tools & Support to find the EBIA Healthcare Expense Table for more details.

Dental and Orthodontia Expenses

  • Dental visits
  • Dental treatment
  • Dental coinsurance & copays    
  • 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 coinsurance & copays    
  • Contact lenses
  • Contact lens solution
  • Eye exams/eyeglasses

Services and items that are not eligible

Here's a sample list of ineligible expenses for Limited-Purpose FSA funds. Go to the EBIA Healthcare Expense Table to see a complete list by logging in to the participant portal and clicking Tools & Support.

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