Learning Disability Treatment: FSA Eligibility

Learning disability treatments with a Letter of Medical Necessity (LMN) from a medical doctor are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA). Learning disability treatments are not eligible with a dependent care flexible spending account (DCFSA) or a limited care flexible spending account (LCFSA).

What are learning disability treatments?

A learning disability treatment is any sort of education, coaching or lessons that help a child overcome a learning disability caused by mental or physical impairments. This would also include something like a nervous system disorder, visual blindness, hearing disabilities, or birth defects that might require remedial language training.

In each case, the expenses associated with treatment that helps to overcome a learning disability are eligible for reimbursement with a consumer-directed healthcare account so long as a medical doctor has made a proper recommendation. This recommendation could apply to learning disability treatment lessons with, for example, a braille teacher, a lip reading teacher, or a remedial language teacher. The doctor might also recommend the learning disabled child attend a special school where the principal reason for attendance is to overcome the learning disability.

Some special schools may also offer other forms of education; if that's the case, then the other education must be incidental to the school's primary focus of overcoming a learning disability. Other medical expenses associated with school attendance are eligible for inclusion in a reimbursement. Those expenses might be costs of tuition, meals and lodging, for example.

Learning disability treatments must be recommended, by a medical doctor, for the purpose of overcoming the learning disability, rather than alleviating behavioral issues or other types of education. If they are not recommended in this fashion, then the expenses associated with the treatment aren't eligible for reimbursement.

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

Legal Information / Regulations

Revenue Ruling 69-607; Private Letter Ruling 8401024 Treas. Reg. '1.213-1(e)(1)(v)


AZ-PROD-WEB02 2/21/2018 3:26:42 AM