What Expenses are Eligible for Reimbursement From My HSA, FSA, or HRA?

Your Health Savings Account (HSA), Flexible Spending Account (FSA), and Health Reimbursement Arrangement (HRA) can be used to pay for thousands of eligible health and care items while saving you money. Search Lively’s comprehensive, up-to-date list to see what’s covered, as defined by the IRS, and make purchases.

If you have a Lifestyle Spending Account (LSA) or Medical Travel Account (MTA), the eligible expenses may be customized by your employer. For Lively LSA and MTA, log into your account dashboard to view the list of expenses.

Want to know more about how these accounts work? Check out Lively’s guide to HSA, FSA, HRA, LSA, and MTA.

  • HSA
  • Medical FSA
  • Limited Purpose FSA
  • Dependent Care FSA
  • HRA

*Some items are only eligible with a prescription (Rx) or letter of medical necessity (LMN).

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Alternative Treatments

Alternative treatment reimbursement is eligible with a flexible spending account (FSA), health savings account (HSA) and a health reimbursement arrangement (HRA). Alternative treatment reimbursement, if related to vision or dental expenses, may be eligible with a limited-purpose flexible spending account (LPFSA). Alternative treatment reimbursement is not eligible with a dependent care flexible spending account (DCFSA). Some benefits administrators may require documentation to support that treatment from the alternative healer was primarily for the treatment of a specific medical condition and not for general health. Speak with your benefits administrator about what type of information if any may be required for an alternative healer expense to qualify.

Learn more

The above list of eligible items is maintained by HSA Store and FSA Store. Qualified medical expenses are defined by the IRS and may change at any time. You can reference IRS Publication 502 and IRS Publication 503 for the full list of expenses that are qualified, are not qualified, and may be qualified based on certain circumstances. Your employer may determine which health and care expenses are eligible under your plan. Refer to your plan documents for more details. Consult your tax adviser if you have questions about qualified medical expenses.<=footnote>