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Common FSA eligible/ineligible expenses

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This document can be used to help you determine which expenses may be eligible for reimbursement under your Health Care or Dependent Care Flexible Spending Account (FSA).

Please note: the following lists are not all-inclusive. The Internal Revenue Service (IRS) decides which expenses can be paid from an FSA and they can modify the list at any time. Be sure to review your benefit plan documents to learn what expenses are eligible for reimbursement under your specific plan.

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