Can I use a Lifestyle Spending Account (LSA) for hearing aids?
Can your LSA cover hearing aids in 2025? Learn what’s eligible, how to claim reimbursement, and tips to maximize your benefits.
In this piece
If you're exploring ways to maximize your employee benefits, you may have come across Lifestyle Spending Accounts (LSAs). These accounts can be a valuable addition to your benefits package, offering flexibility and support for your overall well-being.
But what exactly are LSAs, and how do they work? Can you use them for expenses like hearing aids?
In this article, we'll dive into the details of LSAs, including what they cover and how they can support your health and wellness goals.
What is a Lifestyle Spending Account (LSA)?
A Lifestyle Spending Account is an employer-funded benefit that provides reimbursement for a wide range of non-medical expenses related to your well-being, family needs, and professional development. Unlike traditional health insurance or Flexible Spending Accounts (FSAs), which focus on medical expenses, LSAs are designed to support a broader spectrum of wellness-related activities and purchases.
The specific expenses covered by an LSA can vary depending on your employer's plan, but they generally aim to promote a healthy lifestyle, work-life balance, and personal growth. Employers set aside a predetermined amount of funds for each employee, which you can then use to pay for eligible expenses.
Examples of LSA-eligible expenses
So, what types of expenses can you typically cover with an LSA? While each plan is unique, here are some common examples:
- Gym memberships or fitness classes
- Exercise equipment or wearable fitness trackers
- Wellness apps or programs
- Stress management or mindfulness courses
- Financial planning services or educational resources
- Childcare or elder care services
- Pet care or pet insurance
- Continuing education courses or professional development seminars
Keep in mind that this list is not exhaustive, and your employer's LSA plan may include additional categories or have specific exclusions.
Are hearing aids eligible for LSA reimbursement?
Now that you understand the basics of LSAs, let's address the key question: can you use your LSA to cover the cost of hearing aids?
The answer is, it depends on your employer's specific LSA plan. While some employers may include hearing aids as an eligible expense, others may not. It's important to review your company's LSA guidelines or consult with your HR department to determine if hearing aids qualify for reimbursement under your plan.
Why hearing aids may be included in an LSA
Employers are increasingly recognizing the importance of supporting their employees' overall well-being, including their hearing health. Hearing aids can significantly improve quality of life, communication abilities, and job performance for those with hearing loss. By including hearing aids as an eligible LSA expense, employers demonstrate their commitment to creating an inclusive and supportive work environment.
How to check if your LSA covers hearing aids
To determine if your LSA can be used for hearing aids, follow these steps:
- Review your employer's LSA plan document or benefits guide
- Look for a list of eligible expenses or categories
- If hearing aids are not explicitly mentioned, ask your HR representative or benefits administrator for clarification
- Provide any necessary documentation, such as a prescription or receipt, to support your reimbursement claim
Maximizing your LSA for hearing health
If your employer's LSA does cover hearing aids, consider how you can make the most of this benefit. In addition to the hearing aids themselves, your LSA may also reimburse related expenses, such as:
- Hearing tests and evaluations
- Hearing aid fittings and adjustments
- Batteries and maintenance supplies
- Assistive listening devices or accessories
By leveraging your LSA for these hearing health expenses, you can access the care and support you need while minimizing out-of-pocket costs.
How do Lifestyle Spending Accounts differ from FSAs and HSAs?
While LSAs, FSAs, and HSAs all offer tax advantages and help cover various expenses, there are some key differences between these accounts.
Flexible Spending Accounts (FSAs)
- Cover eligible medical expenses with pre-tax dollars
- "Use it or lose it" annually
Health Savings Accounts (HSAs)
- Paired with high-deductible health plans to cover medical costs
- Funds roll over year-to-year
- Portable between jobs
Lifestyle Spending Accounts (LSAs)
- Employer-defined categories for wellness and personal development
- Typically funded by employer, not employee contributions
- Eligibility and rollover depend on employer's plan design
So, while FSAs and HSAs primarily focus on medical expenses, LSAs offer a broader range of eligible categories determined by your employer. It's important to understand the specific rules and limitations of each account type to make the most of your benefits.
What if my LSA doesn't cover hearing aids?
If your employer's LSA program doesn't include hearing aids as an eligible expense, you still have options to help manage the cost of these important devices:
- Check your health insurance plan to see if it offers any coverage for hearing aids or related services. Some plans may provide partial reimbursement or discounts on certain models.
- Look into Flexible Spending Accounts (FSAs) or Health Savings Accounts (HSAs), which allow you to set aside pre-tax dollars for qualifying medical expenses, including hearing aids.
- Explore financing options offered by hearing aid manufacturers or audiologists, such as payment plans or credit programs designed for healthcare expenses.
- Research community resources and non-profit organizations in your area that may offer assistance programs or grants for hearing aids.
- Consider purchasing refurbished or older models of hearing aids, which can be more affordable than the latest technology while still providing effective hearing support.
Remember, while LSAs can be a valuable tool for supporting your overall well-being, they are just one piece of the puzzle when it comes to managing your health and wellness expenses.
How can I make the most of my LSA benefits?
To maximize the value of your Lifestyle Spending Account, it's important to understand your employer's specific program and the eligible expenses it covers. Here are some tips to help you make the most of your LSA benefits:
- Review your LSA plan document thoroughly to familiarize yourself with the eligible expense categories, reimbursement process, and any deadlines or limitations.
- Create a wellness plan for yourself that aligns with the LSA-eligible expenses, such as setting fitness goals, exploring stress management techniques, or investing in personal development courses.
- Keep detailed records of your LSA expenses, including receipts, invoices, and any necessary documentation to support your reimbursement claims.
- Submit your reimbursement claims promptly to ensure you receive your funds in a timely manner and avoid any end-of-year rushes.
- Communicate with your HR department or benefits administrator if you have any questions or concerns about your LSA, as they can provide guidance and support.
- Encourage your colleagues to take advantage of their LSA benefits as well, fostering a culture of wellness and work-life balance within your organization.
By actively engaging with your LSA and using it to support your personal health and wellness goals, you can derive the greatest value from this unique employee benefit.
Can I use my LSA for family members' expenses?
The ability to use your LSA for family members' expenses depends on your employer's specific plan design. Some companies may allow you to apply your LSA funds to eligible wellness expenses for your spouse, children, or other dependents, while others may limit the use to employee expenses only.
If your employer does extend LSA coverage to family members, it's crucial to understand any limitations or additional requirements. For example:
- There may be a separate annual allowance for family member expenses or a combined limit that encompasses both employee and family expenses.
- Certain expense categories, such as childcare or elder care, may have specific eligibility criteria or age restrictions for dependents.
- You may need to provide additional documentation, such as proof of relationship or dependent status, when submitting reimbursement claims for family member expenses.
How to use your LSA funds for hearing aids if eligible
If your employer's LSA plan includes hearing aids as a covered expense, using your funds to pay for these devices is relatively straightforward. Follow these steps to make the most of your LSA benefits for hearing health:
Verify your LSA includes hearing aids as a covered expense
Review your LSA plan document or contact your HR department to confirm that hearing aids and related expenses are eligible for reimbursement. Understand any specific requirements, such as needing a prescription or adhering to certain price limits, to ensure a smooth reimbursement process.
Purchase qualifying hearing aids and related supplies
Once you've confirmed your eligibility, schedule an appointment with an audiologist or hearing specialist to assess your hearing needs and recommend appropriate hearing aids. Purchase your hearing devices and any necessary supplies, such as batteries or maintenance kits, from a reputable provider.
Submit itemized receipts or invoices for reimbursement
After making your purchase, gather your itemized receipts or invoices that clearly show the date, provider, and cost of your hearing aids and related expenses. Submit these documents along with any required reimbursement forms to your LSA plan administrator, following the specific instructions provided by your employer.
Keep documentation for your records
Maintain a copy of all submitted receipts, invoices, and reimbursement forms for your personal records. This documentation may be necessary for tax purposes or in case of any discrepancies with your LSA reimbursements. Keeping organized records also helps you track your LSA fund usage and plan for future hearing health expenses.
Remember, while using your LSA for hearing aids can help offset the cost of these important devices, it's just one aspect of managing your hearing health. Regular check-ups, proper maintenance, and open communication with your audiologist are all part of a comprehensive approach to hearing wellness.
If you have any questions or concerns about using your LSA for hearing aids, don't hesitate to reach out to your HR department or benefits administrator for guidance. They can help you navigate the reimbursement process and ensure you're making the most of your LSA benefits for your hearing health needs.
What hearing health expenses are eligible under FSAs and HSAs?
While Lifestyle Spending Accounts (LSAs) may not always cover hearing aids, you can turn to Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) for these expenses. FSAs and HSAs are tax-advantaged accounts that allow you to set aside pre-tax dollars for qualified medical expenses, including many hearing health costs.
Here are some common hearing-related expenses that are typically eligible for reimbursement under FSAs and HSAs:
- Hearing tests and evaluations
- Hearing aids and related accessories
- Batteries for hearing aids
- Repairs and maintenance for hearing devices
- Other hearing-assistive devices prescribed by an audiologist
It's important to note that while FSAs and HSAs cover a wide range of hearing health expenses, there may be some limitations or requirements. For example, you may need a prescription or recommendation from a qualified healthcare provider to prove the medical necessity of your hearing aids or related devices.
Using FSA/HSA funds for hearing aids
If you've determined that your hearing aids and related expenses are eligible under your FSA or HSA, the process for using your funds is relatively simple:
- Confirm your eligibility and available balance with your plan administrator to ensure you have sufficient funds to cover your hearing aid costs.
- Purchase your hearing aids and any necessary accessories from a qualified provider, such as an audiologist or hearing aid specialist.
- Pay for your expenses using your FSA or HSA debit card, if available, or submit itemized receipts and any required documentation to your plan administrator for reimbursement.
- Keep records of your expenses, including receipts and any relevant medical documentation, for tax purposes and in case of an audit.
When using your FSA or HSA for hearing aids, it's crucial to understand the specific rules and deadlines associated with your account. FSAs, for example, typically operate on a "use it or lose it" basis, meaning you must use your funds within the plan year or risk forfeiting any remaining balance. HSAs, on the other hand, allow you to roll over unused funds from year to year, providing more flexibility in saving for future hearing health expenses.
By leveraging your FSA or HSA for hearing aids and related costs, you can take advantage of tax savings while prioritizing your hearing health. These accounts offer a valuable opportunity to offset the expense of hearing aids and ensure you have access to the devices and care you need to maintain optimal hearing.
If you have any questions about using your FSA or HSA for hearing aids, consult your plan administrator or a qualified tax professional for guidance. They can help you navigate the specific requirements of your account and maximize your benefits for hearing health expenses.
Are over-the-counter hearing aids eligible for LSA, FSA, or HSA reimbursement?
With the introduction of over-the-counter (OTC) hearing aids in 2022, you may be wondering if these devices qualify for reimbursement under your Lifestyle Spending Account (LSA), Flexible Spending Account (FSA), or Health Savings Account (HSA). The answer depends on the specific rules and guidelines set by your employer or plan administrator.
OTC hearing aids, which can be purchased without a prescription, are designed to provide more accessible and affordable options for those with mild to moderate hearing loss. While these devices have expanded the market and made hearing aids more readily available, their eligibility for reimbursement under various spending accounts may vary.
In some cases, FSAs and HSAs may allow reimbursement for OTC hearing aids, as long as they are considered qualified medical expenses under the plan's guidelines. However, it's important to note that not all FSAs and HSAs will automatically cover these devices, so it's best to check with your plan administrator for the most up-to-date information.
When it comes to LSAs, the eligibility of OTC hearing aids for reimbursement will largely depend on how your employer has structured their specific plan. Some employers may choose to include OTC hearing aids as an eligible expense category, recognizing the importance of hearing health and the potential benefits these devices can offer employees. Others may not yet have updated their LSA guidelines to accommodate this relatively new category of hearing aids.
If you're considering purchasing OTC hearing aids and want to use your LSA funds to offset the cost, your first step should be to review your employer's LSA plan document or contact your HR department for clarification. They can provide guidance on whether OTC hearing aids are currently eligible for reimbursement under your specific plan and any requirements you need to meet, such as providing a receipt or proof of purchase.
Keep in mind that even if your LSA does not currently cover OTC hearing aids, you may still have other options for reimbursement, such as FSAs or HSAs, if you have access to these accounts. Additionally, some employers may be open to feedback from employees about expanding their LSA eligible expenses to include OTC hearing aids, particularly if they recognize the value these devices can offer in terms of employee well-being and productivity.
As the landscape of hearing health continues to evolve, with OTC hearing aids becoming more prevalent and accessible, it's likely that more employers and plan administrators will adapt their guidelines to accommodate these devices. In the meantime, it's important to stay informed about your specific plan's rules and to advocate for your hearing health needs with your employer and benefits provider.
What are the best options to pay for hearing aids?
If your Lifestyle Spending Account (LSA) does not cover hearing aids, there are several other options to consider. FSA and HSA funds should be your first choice, as these tax-advantaged accounts allow you to set aside pre-tax dollars for qualified medical expenses, including hearing aids and related costs.
Review your health insurance plan to see if it offers any coverage for hearing aids or associated services. Some plans may provide partial reimbursement or discounts on certain models, so it's worth exploring your benefits in detail.
Financing options, such as CareCredit or payment plans offered directly by hearing aid providers, can help spread the cost of hearing aids over time. These programs often feature low or no interest rates for a specified period, making them an attractive choice for managing the expense of hearing aids.
Local non-profit organizations and charities may also offer assistance programs or grants for hearing healthcare costs. These resources can be particularly helpful for those who may not have access to other funding options or who are experiencing financial hardship.
Forma's Lifestyle Spending Accounts provide employers with the flexibility to define eligible expenses, which can include hearing aids if the company chooses to prioritize hearing health. This customization allows for a more comprehensive and inclusive approach to employee well-being.
When exploring your options for paying for hearing aids, it's important to consider your individual financial situation and the resources available to you. Don't hesitate to reach out to your HR department, insurance provider, or local community organizations for guidance and support in finding the best solution for your hearing healthcare needs.
Is using an LSA for hearing aids worth it?
If your employer's LSA includes hearing aids as an eligible expense, it can be a valuable way to support your hearing health and overall well-being. LSAs that cover hearing aids make hearing care more accessible and affordable, allowing you to prioritize your auditory health without the burden of high out-of-pocket costs.
Investing in proper hearing support through your LSA can have far-reaching benefits in your personal and professional life. When you can hear clearly, you're better equipped to engage in conversations, participate in social activities, and perform your best at work. Improved communication and social engagement can lead to stronger relationships, reduced feelings of isolation, and greater job satisfaction.
Moreover, addressing hearing loss with the help of your LSA can help prevent potential negative consequences associated with untreated hearing issues, such as cognitive decline, depression, and decreased earning power. By using your LSA funds for hearing aids, you're taking a proactive step towards maintaining your overall health and quality of life.
To make the most of your LSA benefits for hearing aids, it's important to understand how your specific plan works. Lifestyle Spending Accounts can vary in terms of eligible expenses, reimbursement processes, and rollover policies. Familiarize yourself with your employer's LSA guidelines and work with your HR department or benefits administrator to ensure you're maximizing your funds for hearing health.
When considering the value of using your LSA for hearing aids, it's also helpful to think about the long-term impact on your well-being. While hearing aids may seem like a significant expense upfront, the benefits they provide in terms of improved communication, social engagement, and professional performance can far outweigh the initial cost. Plus, with your LSA funds covering all or a portion of the expense, you can access these benefits without putting undue strain on your personal finances.
Ultimately, if your employer's LSA includes hearing aids as an eligible expense, taking advantage of this benefit can be a smart and worthwhile investment in your overall health and well-being. By prioritizing your hearing health and using your LSA funds to support it, you're setting yourself up for success in both your personal and professional life.
Whether hearing aids are eligible for reimbursement through your Lifestyle Spending Account (LSA) depends on your employer’s specific plan. Forma’s flexible LSA solutions help companies design benefits that support employees' real needs, including hearing health. Schedule a consultation with one of our experts today.
What do you do if you're unsure?
If you're unsure about LSA eligibility, it's best to consult your benefits administrator or refer to your employer's LSA policy documentation for clarification.
What are LSA benefits for employers?
If you're an employer, there are multiple benefits to offering LSAs to your employees, including:
- Providing flexible support for diverse employee needs
- Increasing employee financial wellness and reducing stress
- Enhancing your total benefits package to attract and retain talent
- Demonstrating commitment to employee work-life balance
- Supporting employees through various life stages and situations
Want to learn more about LSAs? Check out our Lifestyle Spending Accounts (LSAs) benchmark report for 2025.
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