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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Counseling

Medical or mental health counseling is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), and health reimbursement account (HRA). Counseling not for a medical or mental health purpose will typically not qualify, such as marriage or family counseling, unless appropriate documentation is provided. In all types of counseling, an administrator may require a Letter of Medical Necessity. Counseling is not eligible for reimbursement with a dependent care flexible spending account (DFSA) or limited-purpose flexible spending account (LPFSA).

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>