Can ABA Therapy Bill Be Reimbursed by HSA?

Many parents with children who require Applied Behavior Analysis (ABA) therapy often wonder if the costs associated with this treatment can be reimbursed through their Health Savings Account (HSA). ABA therapy is a widely recognized and effective intervention for individuals with autism spectrum disorder, focusing on improving social, communication, and behavioral skills.

It is essential to note that the IRS allows HSA funds to be used for medical expenses that are considered qualified under Section 213(d) of the Internal Revenue Code. ABA therapy is generally eligible for reimbursement through an HSA if it is prescribed by a licensed healthcare provider to treat a specific medical condition.

However, there are certain requirements that need to be met in order for ABA therapy bills to be reimbursed by an HSA:

  • The therapy must be deemed medically necessary by a qualified healthcare professional.
  • The ABA therapy provider must be a licensed healthcare provider.
  • The expenses must be incurred to alleviate or prevent a physical or mental defect or illness.

It is recommended to keep detailed records of all ABA therapy expenses, including receipts and a letter of medical necessity from the healthcare provider, to support any reimbursement claims from the HSA.


For parents navigating the challenges of autism spectrum disorder, understanding the financial aspects of ABA therapy is crucial. Many seek clarity on whether they can use their Health Savings Account (HSA) to cover these essential services. Generally, the IRS does permit the use of HSA funds for medical expenses under Section 213(d), which includes ABA therapy when it is prescribed by a licensed practitioner.

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