Limited FSA - Eligible Expense ?

[Guest SusanMM]

One of our employees is covered by our HDHP and her spouse is covered by a Medicare advantage plan. The employee makes pre-tax contributions to a Limited FSA for herself and spouse. Recently, the spouse had several acupuncture treatments. These are not covered by his health plan. Does anyone think that the acupuncture expense could be reimbursed by the Limited FSA ?

[Bob R]

Probably not. But it depends on the terms of the limited purpose FSA. It should be limited to items such as dental and/or vision expenses. Accupuncture wouldn't fit under either of these.

[SLuskin]

If the deductible on the HDHP had not been met, then the expense is not reimbursable.

[Jacmo]

Wouldn't it be possible for preventive items/procedures to be eligible expenses under an HSA compatible Limited Purpose FSA? If so, would an MD's statement that the acupuncture was medically necessary to treat a current condition make it eligible?