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HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

HRA

HSA

FSA

Limited Purpose FSA

Dependent Care FSA

Eligible

Eligible with Rx

Eligible with LMN

Eligible

Eligible with Rx

Eligible with LMN

Goggles

Goggles for general use are not eligible. Prescription goggles necessary for treatment of a medical condition may be eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), and limited purpose flexible spending account (LPFSA). Goggles reimbursement is not eligible with a dependent care flexible spending account (DCFSA).

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