Are Lactation Consultants Eligible for FSA?

Pregnancy and Postpartum Care for Everyone

Yes, lactation consultants are generally eligible expenses for Flexible Spending Accounts (FSA). Many FSA plans allow you to use your pre-tax dollars to pay for lactation consultant services, especially if these services are to assist with breastfeeding, which is considered a form of preventive healthcare.

In the United States, breastfeeding support, including services provided by lactation consultants, is often recognized under various health programs and insurance plans due to its significant health benefits for both infants and mothers. Under the Affordable Care Act (ACA), most health insurance plans are required to cover breastfeeding support and supplies without cost-sharing.

Here’s how lactation consultants are supported under various U.S. health spending arrangements:

  1. Flexible Spending Accounts (FSA): Expenses for lactation consultants are eligible for reimbursement through FSAs if the consultation is to aid the natural process of breastfeeding. This is viewed as a preventative healthcare measure, which aligns with the broader goal of FSAs to cover out-of-pocket healthcare expenses.
  2. Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA): Similar to FSAs, HSAs and HRAs typically cover lactation consulting as a qualified medical expense. This inclusion recognizes the role of lactation consultants in providing essential support for breastfeeding, which is crucial for both maternal and child health.Flexible Spending Accounts (FSA)
  3. Insurance Coverage: As per the ACA, health plans must provide breastfeeding support, counseling, and equipment for the duration of breastfeeding. These services may be provided before and after birth. However, coverage specifics can vary by insurance provider and plan, so it's important to review your policy details or speak with your insurance provider.
  4. Tax Deductions: If you're not using an FSA, HSA, or if your insurance doesn’t cover all costs associated with lactation consulting, these expenses can potentially be deducted from your taxes. For such deductions, total medical expenses must exceed 7.5% of your adjusted gross income, and you must itemize your deductions.

To utilize these benefits, it's recommended to obtain detailed receipts from your lactation consultant. If required by your FSA or HSA provider, you might also need a Letter of Medical Necessity prescribed by a doctor to confirm that the consultation is essential for the health of the mother and child.