FSA and HSA Coverage of Fertility and Pregnancy Products

Wondering which fertility and pregnancy products are covered by your FSA or HSA? Everything you need to know is in this guide.

Let’s face it. No one is a big fan of paying the bills—especially when it comes to paying for healthcare expenses. Even with a great insurance plan, medical costs can be expensive, and the piggy bank can take a hit. In an effort to reduce your personal healthcare costs, it may be valuable to investigate if you qualify for an FSA or HSA account. Both government-established programs, FSAs and HSAs exist to ease financial burdens and promote the affordability of healthcare.

What is an FSA / HSA?

Flexible Spending Arrangements (FSA) and Health Savings Accounts (HSA) are tax-advantaged accounts that are commonly offered as fringe benefits to employees as part of an insurance plan. These accounts are part of federally funded government programs and can often be used in conjunction with qualified insurance plans to help cover eligible healthcare expenses.

While both FSAs and HSAs can aid in reducing healthcare costs, it is important to take note of the fundamental differences between accounts in order to understand how an HSA or FSA may apply to you.

• An HSA is a medical savings account available to those who have enrolled in a high-deductible insurance policy. Unlike an FSA, self-employed taxpayers with high-deductible insurance policies may also create an account. Additionally, funds placed into an HSA account may roll over from year to year, while FSA funds will not. Please note that if you are eligible for Medicare or Medicaid, or are claimed as a dependent on another’s tax return, an HSA will not be available to you.
• An FSA is an employer-established benefit plan. This means that this type of account is only available when offered to employees by their employer. This account is owned by the employer, and the allotted funds do not roll over from year to year.

What fertility and pregnancy products and services are covered by FSA / HSA?

HSAs and FSAs are meant to cover “qualified medical expenses” as defined by the IRS . This includes copayments, deductibles, and other health-related eligible expenses, including condoms, sunscreen, bandages, and heating pads. But can you buy pregnancy tests with HSA? When it comes to fertility- and pregnancy-related expenses, the following are included as HSA/FSA eligible items according to the IRS :

• Breast pumps and supplies
• Diagnostic devices
• Pregnancy tests
• IVF and other fertility procedures
• Ovulation Tests
• Prescribed medicines
• Vasectomies
• Vitamins "recommended by a medical practitioner as treatment for a specific medical condition" (e.g. if your OBGYN recommends Prenatal Vitamins or Iron)
• Weight-loss programs

Here is a comprehensive list of qualified medical and dental expenses covered by FSA and HSA.

Which Natalist products are covered by FSA/HSA?

For most FSA/HSA programs, Natalist’s Prenatal Daily Packets, Pregnancy Tests, midstream Ovulation Tests, Ovulation Test Kit, The Test Pack, and Women's Fertility Test Bundle are eligible for coverage. The Lube, Iron, Prenatal for him, and Fiber may be eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA). However, we recommend reviewing your individual plan to ensure you qualify for reimbursement.

You can either use your FSA/HSA debit cardwhen checking outon our site, or file for reimbursement (more on that below).

Note: While The Get Pregnant Bundle contains items such as our Conception 101 book that do not qualify as an FSA/HSA eligible expense, upon request, we can provide you with an itemized receipt for qualifying items in your bundle so you can log them for reimbursement if needed.

How to submit for HSA / FSA reimbursement

Reimbursements are simple and generally don't require claim forms. Each health plan may vary in the documentation required for reimbursement, but most just require a receipt of purchase of the qualifying item (email confirmation or paper receipt). Occasionally, you may also be required to provide an itemized receipt of your purchase along with a medical letter of necessity. We suggest logging into your provider's online portal (or calling them) for specific instructions.

When purchasing from Natalist, you can either use your FSA/HSA debit card, or use the itemized receipt (which will be in your inbox after you make a purchase). If you have any questions or specific requests regarding your HSA/FSA-eligible Natalist purchases, please contact us at support@natalist.com.

Timing guidelines for FSA /HSA reimbursement

For FSA reimbursements, we recommend filing as soon as possible. Time limits may vary with individual plans, and some plans only give you until the end of your plan year. We recommend reviewing your plan for personal time constraints or grace periods.

On the contrary, because HSA plan accounts may roll over from year to year, there is no time limitation on when reimbursement claims must occur. It is important to note that you can not reimburse yourself for eligible expenses that occurred prior to opening your HSA account. Regardless, make sure to save your receipts in the rare case of an IRS audit.

Be organized with your reimbursements

While dealing with healthcare and medical expenses can be a pain (sometimes, quite literally), generally speaking, most FSA/HSA reimbursements should be a breeze as long as you take the proper steps to utilize your funds within the designated time frames and be sure to double check for any limitations in your individual plan.

And once again, we strongly recommend that you keep any purchase receipts and documentation for qualifying expenses that you may be charged out of pocket.