← Back to Library
2026 Tax Rules

Get Paid to Drive: FSA Mileage Reimbursement Guide

Did you know your car is an FSA eligible expense? If you drive to a medical appointment, the pharmacy, or a therapy session, the IRS allows you to reimburse yourself for every mile driven.

Most employees leave this money on the table because they don't know the rate or how to log it. Here is the operational breakdown.

20.5ยข / Mile
Official 2026 IRS Medical Mileage Rate

1. What Trips Count?

You can claim mileage for travel primarily for, and essential to, medical care. This includes:

2. The Math (How much is it worth?)

It adds up faster than you think. Let's look at a typical year for a family of four:

That is nearly $100 of tax-free money you can claim just by keeping a log.

3. Don't Forget Parking & Tolls

In addition to the mileage rate, you can reimburse 100% of the cost for:

Ops Tip: Uber and Lyft rides to medical appointments are also 100% eligible. Save the receipt from the app!

4. How to Submit the Claim

Your FSA card won't work at the gas pump. You must pay out-of-pocket and submit a "Manual Claim" for reimbursement.

The Documentation Requirement:

Create a simple log (Excel or written) containing:

  1. Date of Travel
  2. Destination (Name of Doctor/Clinic)
  3. Purpose (e.g., "Dental Cleaning")
  4. Total Miles Driven

Submit this log along with the EOB or receipt from the appointment to prove you were actually there.