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Results GuideUpdated for 2025

Understanding Results

Learn how to read and interpret eligibility results. This guide explains every component of the results page and what it means for your purchase.

Understanding Status Badges

Every results page shows a colored status badge that indicates eligibility at a glance. Here's what each status means:

Eligible

What it means:

This item is a qualified medical expense according to IRS rules. You can use your HSA/FSA/HRA funds to purchase it.

What to do:

  • Purchase with your HSA/FSA card or pay out-of-pocket and submit for reimbursement
  • Keep your itemized receipt showing the item name, date, amount, and merchant
  • No additional documentation typically required unless specified

Examples:

OTC pain relievers (Tylenol, Advil)
Prescription medications
Doctor visits and co-pays
Prescription eyeglasses and contacts
Eligible with Requirements

What it means:

This item may be eligible, but requires additional documentation or specific conditions to be met.

What to do:

  • Read the Requirements section carefully on the results page
  • Obtain any required documentation (e.g., Letter of Medical Necessity, prescription)
  • Ensure all conditions are met before purchasing
  • Keep all documentation with your receipt for substantiation

Examples:

Vitamins (requires prescription for specific diagnosed deficiency)
Massage therapy (requires LMN for specific medical condition)
Gym membership (requires LMN for diagnosed condition like obesity or heart disease)
Special diet foods (requires LMN for conditions like celiac disease)
Not Eligible

What it means:

This item is not a qualified medical expense under IRS rules. You cannot use HSA/FSA/HRA funds for this purchase.

What to do:

  • Do not use your HSA/FSA card for this purchase
  • Pay with personal funds (not pre-tax healthcare dollars)
  • Read the explanation to understand why it doesn't qualify
  • Check if there are similar eligible alternatives

Examples:

General wellness vitamins (not prescribed)
Gym memberships for general fitness
Cosmetic procedures (not medically necessary)
Teeth whitening (cosmetic only)
Need More Information

What it means:

The eligibility depends on specific details about your situation. More context is needed.

What to do:

  • Review the explanation and clarifying questions
  • Try a more specific search if your query was too broad
  • Contact your plan administrator with specific details
  • Check IRS Publication 502 for edge cases

Examples:

Items that could be medical or cosmetic (depends on purpose)
Services that may or may not be medically necessary
Products with both eligible and non-eligible variants

Components of a Results Page

Each results page contains several important sections. Here's where to find them and what they tell you:

Item Name & Answer
The search query you entered and a clear, concise answer about eligibility.

Where to find it:

Top of the page, in large bold text

What to look for:

  • Item name is shown exactly as you searched
  • Plain English answer summarizes eligibility
  • Quick overview before diving into details
Status Badge
Color-coded badge showing eligibility status at a glance.

Where to find it:

Below the item name, with colored background

What to look for:

  • Green = Eligible
  • Yellow = Eligible with Requirements
  • Red = Not Eligible
  • Blue = Need More Information
  • Shows which accounts the item is eligible for (HSA, FSA, HRA)
Eligibility Matrix
Table showing eligibility status for each account type (HSA, FSA, HRA).

Where to find it:

Early on the page, in a clear table format

What to look for:

  • Each row shows one account type
  • Status column shows Eligible or Not Eligible with icon
  • Some items may be eligible for one account but not another
  • Check the row for your specific account type
Requirements Section
Lists any special requirements needed for the item to be eligible (only appears if applicable).

Where to find it:

Highlighted section with yellow background

What to look for:

  • Each requirement has a clear label
  • Description explains exactly what you need
  • May include LMN requirement, prescription requirement, etc.
  • This section only appears for "Eligible with Requirements" items
Quick Reference
Detailed explanation of why the item is or isn't eligible.

Where to find it:

Main content area with "Why" explanation

What to look for:

  • Explains the IRS reasoning behind the eligibility determination
  • "When It Qualifies" lists conditions that make it eligible
  • "When It Doesn't" lists exclusions and non-qualifying scenarios
  • Provides context and edge cases
Official Source
IRS publication citation with direct link to the source material.

Where to find it:

Right sidebar, clearly labeled

What to look for:

  • Publication title (usually IRS Publication 502 or 969)
  • Specific section reference
  • Clickable link to view on IRS.gov
  • Use this for verification or if your claim is questioned
Similar Items
Related items you might also be interested in checking.

Where to find it:

Lower on the page, shows 3-5 related searches

What to look for:

  • Each item shows its own eligibility status icon
  • Clickable to navigate to that item's results
  • Helps discover related eligible expenses
  • May show more specific or alternative items
Action Buttons
Tools to save, share, or print the results for future reference.

Where to find it:

Top right and bottom of page

What to look for:

  • Share button copies link or opens share menu
  • Print button formats page for printing
  • New Search returns to home page
  • Use these to keep results for your records

Confidence Levels

Some results include a confidence indicator (High, Medium, or Low). This tells you how clear-cut the IRS guidance is for that item.

High Confidence

Meaning:

The item is clearly defined in IRS publications with explicit guidance.

Reliability:

Very reliable - IRS has specific rules for this item

Medium Confidence

Meaning:

The item falls into a general category covered by IRS rules, but may have some edge cases.

Reliability:

Reliable for most cases - verify specific details with your plan

Low Confidence

Meaning:

The item is in a gray area or depends heavily on individual circumstances.

Reliability:

Use with caution - consult your plan administrator or tax advisor

Reading the Eligibility Matrix

Account Type Breakdown
The matrix shows eligibility for each account type

The Eligibility Matrix is a table with three rows (HSA, FSA, HRA) showing which accounts can cover the expense. Here's how to read it:

Green checkmark = Eligible

This account type can be used to pay for this item

Gray checkmark = Not Eligible

This account type cannot be used for this item

Why might they differ?

Some items are eligible for HSAs but not FSAs, or vice versa. HRA eligibility depends on your employer's plan design.

Common Questions

Q:What does "Eligible for HSA, FSA, and HRA" in the badge mean?
A:

This indicates the item qualifies for all three types of tax-advantaged health accounts. If it only lists one or two, the item may have different eligibility rules for each account type. Always check the Eligibility Matrix table to see your specific account.

Q:Why do some items show requirements?
A:

The IRS allows certain items only when they're used to treat a specific medical condition, not for general health. Requirements ensure the expense is truly medical. Common requirements include prescriptions or Letters of Medical Necessity (LMN).

Q:How do I use the IRS citation?
A:

The Official Source section links to the exact IRS publication and section that governs this item. If your FSA administrator questions an expense, you can reference this citation. It's also useful for your own verification and peace of mind.

Q:What if the eligibility status doesn't match what my FSA administrator says?
A:

Our results show IRS baseline rules. Your specific FSA or HRA plan may have MORE restrictive rules (but cannot be more permissive). Always check with your plan administrator if there's a discrepancy. HSAs follow standard IRS rules and don't vary by plan.

Q:Can I trust the "Similar Items" suggestions?
A:

Yes, but each similar item has its own eligibility rules. Just because one item is eligible doesn't mean related items are. Always click through and read each item's full result page before purchasing.

Q:What should I do with these results?
A:

Save or print the results page for your records. Keep it with your receipt if you make a purchase. The IRS citation and explanation can help substantiate your claim if questioned during an audit or by your plan administrator.

What to Do After Checking Results

Action Checklist
  1. 1

    Save the Results

    Print or bookmark the page for your records. The IRS citation is valuable documentation.

  2. 2

    Get Required Documentation

    If the item requires an LMN or prescription, obtain it BEFORE making the purchase.

  3. 3

    Make Your Purchase

    Use your HSA/FSA card or pay out-of-pocket and submit for reimbursement.

  4. 4

    Keep Your Receipt

    Save the itemized receipt showing item name, date, amount, and merchant. Store it with the results page and any supporting documentation.

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