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).