Can You Use FSA to Cover LipiFlow if You Also Have an HSA?

If you have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA), you may wonder if you can use your FSA to cover LipiFlow treatments. LipiFlow is a procedure used to treat dry eye disease, and it's essential to understand how your FSA and HSA can be utilized for this purpose.

While FSAs and HSAs both offer tax advantages for medical expenses, they have different rules and restrictions. Here's what you need to know:

  • FSAs are pre-tax accounts that can be used to pay for eligible medical expenses not covered by insurance.
  • HSAs are also pre-tax accounts, but they are only available to individuals with high-deductible health plans.
  • HSAs can be used to pay for qualified medical expenses, including those not covered by insurance.
  • LipiFlow treatment is considered a qualified medical expense by the IRS.
  • If you have an HSA, you can use it to cover the cost of LipiFlow treatments.
  • However, if you also have an FSA, you cannot use both accounts to pay for the same expense.

It's important to keep in mind that once you enroll in an HSA, you are no longer eligible to contribute to an FSA. If you have funds remaining in your FSA that you would like to use for LipiFlow treatment, you may need to spend down your FSA balance before switching to an HSA.

Overall, having an HSA can provide more flexibility in covering medical expenses, including LipiFlow treatments. Be sure to consult with your benefits administrator or financial advisor to understand the specific rules and limitations that apply to your situation.


If you have both a Flexible Spending Account (FSA) and a Health Savings Account (HSA), you might be curious about whether you can use your FSA funds to cover LipiFlow treatments. LipiFlow, a procedure designed to alleviate dry eye disease symptoms, requires a clear understanding of how HSA and FSA funds can be allocated for such medical services.

While both FSAs and HSAs provide tax advantages for medical expenses, their operational guidelines differ significantly. Here’s a brief guide on the matter:

  • Flexible Spending Accounts (FSAs) are pre-tax arrangements designed to pay for eligible medical expenses that insurance does not cover.
  • Health Savings Accounts (HSAs) offer similar tax benefits but are exclusively available to those enrolled in high-deductible health plans.
  • Eligible medical expenses for HSAs include treatments not covered by insurance, and LipiFlow is classified as a qualified medical expense by the IRS.
  • As an HSA holder, you can indeed use your account to pay for LipiFlow treatments.
  • However, you cannot simultaneously use both your FSA and HSA to fund the same medical expense.

It’s crucial to note that enrolling in an HSA renders you ineligible to contribute to an FSA. If you have leftover funds in your FSA and want to utilize them for LipiFlow, consider spending down your FSA balance before transitioning to an HSA.

Having an HSA could provide greater flexibility regarding medical expenses, including necessary procedures like LipiFlow. Always consult with your benefits administrator or a financial advisor for tailored advice on navigating these accounts.

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