At Home COVID-19 Test: FSA Eligibility

At Home COVID-19 Test: eligible with a Flexible Spending Account (FSA)
At-Home COVID-19 Test reimbursement (provided the full cost has not been covered by a health plan) is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). At-Home COVID-19 Test reimbursement is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

COVID-19 & Virus Protection

What is an At-Home COVID-19 Test?

At-Home COVID-19 tests, sometimes called “self tests” or “over-the-counter tests”, are those that can be performed on yourself at home or anywhere. Currently, at-home tests only detect current infection by testing for SARS-CoV-2, the virus that causes COVID-19. No self-tests are available to detect antibodies, which would suggest past infection (CDC). At-home tests may be used when you have COVID-19 symptoms, or have been in close contact with an individual infected with COVID-19 (CDC). Specifically, the CDC recommends using an At-Home COVID-19 test in the following scenarios:

  • If you have COVID-19 symptoms, use a self-test immediately
  • If you were a close contact of someone with COVID-19, self-test after at least 5 days, plus a second test in 1 or 2 days if your first test is negative (See Serial Testing, below)
  • If you are testing before a gathering, test immediately before the gathering (or as close in time to the event as possible)

At-Home COVID-19 Test Eligibility

At-Home COVID-19 tests are a qualified medical expense and are FSA/HSA eligible. However, many health plans cover these tests at no cost to the participant. If the cost of the test has already been covered by the health plan, a participant cannot also request reimbursement from a tax-advantaged benefit such as an FSA or HSA. As always, be sure to check with your plan administrator.

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