How to use your flexible spending account - UHC

1 Plan Management | FSA Eligible Expenses How to use your flexible spending account Here are examples of medical services, treatments and over-the-counter (OTC) medications you can purchase using your flexible spending account (FSA).*. Medical services and treatments Acupuncture Hearing aids and batteries What is an FSA? Ambulance Hospital services An FSA is a benefit plan that allows you to set aside money Artificial limbs Insulin from your paycheck before Artificial teeth Laboratory fees taxes into a special account Blood sugar test kits for diabetics Laser eye surgery to help pay for certain medical costs, child care or other eligible Breast pumps and lactation supplies Physical therapy health services. Chiropractor Psychiatric care Dental treatments including X-rays, Speech therapy cleanings, fillings, braces and Stop-smoking programs tooth removals (including nicotine gum or Diabetes test strips patches, if prescribed).

2 Doctor's office visits and procedures Surgery, excluding cosmetic surgery Drug addiction treatment Vasectomy Eyeglasses and vision exams Weight-loss program, if it's a Fertility treatment treatment for a specific disease diagnosed by a physician OTC medications Acne medicine Hemorrhoid treatment Aids for indigestion Laxatives or stool softeners Allergy and sinus medicine Lice treatments Antidiarrheal medicine Motion sickness medicines Baby rash ointment Nasal sprays or drops Cold and flu medicine Ointments for cuts, burns or rashes Eye drops Pain relievers Feminine antifungal or Sleep aids anti-itch products *May vary based on your particular health plan. See your plan documents for details. continued OTC supplies that may be eligible for FSA reimbursement Bandages, adhesive or elastic Personal protective equipment What is an Braces and supports (PPE) personal protective eligible expense?

3 Equipment, such as masks, hand Catheters An eligible expense is a medical, sanitizer and sanitizing wipes, for the dental or vision expense that Condoms primary purpose of preventing the can be paid for or reimbursed by spread of the Coronavirus Disease Contact lens solution and supplies your health plan. 2019 (COVID-19 PPE). Crutches Pregnancy tests First-aid supplies Reading glasses Menstrual products Sunscreen SPF15 or higher Ostomy products Walkers, wheelchairs and canes Common services and expenses not eligible for FSA reimbursement Aromatherapy Moisturizer with SPF protection Baby bottles Mouthwash Baby wipes Petroleum jelly Cotton swabs Shampoo and conditioner Dental floss Skin care Deodorants Spa salts Hair regrowth Sun-tanning products Learn more For a complete list of eligible expenses, see your benefit plan documents or visit Insurance coverage provided by or through UnitedHealthcare Insurance Company or its affiliates.

4 Administrative services provided by United healthcare Services, Inc. or their affiliates. A flexible spending account is not insurance. FSAs are administered by OptumHealth Financial Services and are subject to eligibility and restrictions. This communication is not intended as legal or tax advice. Please contact a competent legal or tax professional for personal advice on eligibility, tax treatment, and restrictions. Federal and state laws and regulations are subject to change. B2C 4/21 2021 United healthcare Services, Inc. All Rights Reserved. 21-643804-B.