If you have a Healthcare Flexible Spending Account (HCFSA), spend your funds wisely throughout the year and keep an eye on your balance as your plan year draws to a close. When it comes to HCFSAs, the most important rule you’ll want to remember is “use or lose.” Any unspent money could be forfeited, which you don’t want to happen.

For many HCFSA plans, funds expire on December 31. However, depending on exceptions set by your employer, you may be given a 2.5 month grace period until midnight on March 15 to spend the remaining balance in your account. Your employer might instead allow a limited amount to roll over into the next year. Employers can only offer one of these options, so you’ll want to double check your employer’s guidelines. So, how does one avoid losing these valuable dollars? By consistently using them on HCFSA-eligible items

You might be surprised at what products may be HCFSA-eligible expenses. Healthcare products—from first aid to tampons to reading glasses and breast pumps—are all eligible for purchase with your tax-free funds. Don’t let them go to waste!

What you can buy with an HCFSA

Below is a list of over-the-counter items and other eligible expenses for HCFSA funds. Purchases may result in a small commission to American Fidelity at no additional cost to you.

If you have additional questions about HCFSAs, visit our support site.

Shop the FSA Store

Shop for Eligible Items

You may purchase FSA-eligible items online at the FSA Store. Browse medical supplies, over-the-counter medication, and more.

Purchases may result in a small commission to American Fidelity at no additional cost to you.

This blog is up to date as of February 2026 and has not been updated for changes in the law, administration or current events. This information is general in nature and should not be considered financial, legal or tax advice. Consult an attorney or a tax professional regarding your specific situation.