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), a Medical Travel Account (MTA), or Commuter benefits through Lively, the eligible expenses may be customized by your employer. Log into your Lively account online to view the list of expenses for these benefits.

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

  • 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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Birthing Classes

Birthing classes are partially eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). Only the portion of the class that relates to the process of childbirth is eligible and a Letter of Medical Necessity may be required to indicate what part of the expense is medical and therefore eligible. Examples include: breathing techniques, stages of labor, labor & delivery procedures, birthing positions, vaginal & Cesarean delivery, so it's vital to check with a benefits administrator to see how these classes are reimbursed. Birthing classes are not eligible for reimbursement with a limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

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>