Health Institute Fees: FSA Eligibility

Health institute fees are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

What are health institute fees?

Health institute fees are the expenses associated with attending health-related courses, retreats, workshops, room & board, wellness coaching, and more. Health institute fees typically represent a range of offerings for the purpose of general health, and concern activities that aren't medically necessary or prescribed by a doctor in order to diagnose, treat, or alleviate a medical condition, injury or disease. Health institute fees are generally categorized under "wellness" and similar health-related goals that may include expenses such as accommodations in a specialized facility, meals, etc.

Health institute fees are not medically necessary nor prescribed by a doctor, and therefore are ineligible for reimbursement with a consumer-directed healthcare plan. Health institutes go by many names including clinics, retreats, workshops, institutes, campuses, etc. but always are classified by the services they offer which do not directly diagnose, treat or alleviate a medical condition or disease. If there is a service which does directly treat, diagnose or alleviate a medical condition or disease, and it is prescribed by a doctor, then it may be eligible for reimbursement with a consumer-directed healthcare plan. It is possible, though unlikely, that this service would be prescribed by a doctor to be performed at a health institute and covered by health institute fees.

Specific examples of offerings covered by health institute fees include physical activity classes, resiliency classes, nutrition classes, and wellness assessments. Physical activity classes can be anything from movement workshops, to yoga, Pilates, etc. Resiliency classes might include mindfulness, meditation, relaxation workshops, etc. Nutrition classes might include cooking classes, mindful eating workshops, diet education, etc.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)


Eligible with Rx

Eligible with LMN

Not Eligible


AZ-PROD-WEB01 1/17/2018 10:03:21 PM