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Can I use a Lifestyle Spending Account (LSA) for alternative medicine?

Find which alternative medicine treatments qualify for LSA coverage in 2025. Learn about eligible services and reimbursement guidelines.

Are you wondering if you can use your Lifestyle Spending Account (LSA) for alternative medicine?

With the rise of holistic health and wellness, more and more people are turning to alternative therapies to complement traditional medical treatments.

But can you actually use your LSA to cover these expenses? Let's find out.

What is a Lifestyle Spending Account (LSA)?

A Lifestyle Spending Account (LSA) is an employer-funded benefit that provides you with a set amount of money to spend on eligible wellness and lifestyle expenses. Unlike traditional health insurance, which typically only covers medical expenses, an LSA gives you the flexibility to choose how you want to spend your wellness dollars.

LSAs are becoming increasingly popular as employers recognize the importance of supporting their employees' overall well-being. By providing an LSA, employers can help you prioritize your health and wellness in a way that works best for you.

Examples of LSA eligible expenses

So, what kinds of expenses can you typically cover with an LSA? While each employer may have slightly different guidelines, here are some common examples:

  • Gym memberships and fitness classes: If you enjoy staying active, you can use your LSA to pay for a gym membership or drop-in classes at your favorite yoga studio.
  • Wellness apps and subscriptions: From meditation apps to online fitness programs, there are plenty of digital tools that can support your wellness goals. Many of these can be covered by your LSA.
  • Childcare and eldercare: If you have young children or aging parents, you know how expensive care services can be. Some LSAs allow you to use your funds to help cover these costs.
  • Pet care: Your furry friends need care too! Some LSAs cover expenses like pet sitting, dog walking, or even pet insurance.
  • Financial planning and student loan repayment: Financial stress can take a toll on your overall well-being. Some LSAs cover expenses related to financial planning services or even help you pay off your student loans.
  • Home office equipment and commuter benefits: If you work from home or commute to the office, you may be able to use your LSA to purchase ergonomic office furniture or cover transit costs.

Can you use a Lifestyle Spending Account for alternative medicine?

Yes, many LSAs allow you to spend funds on alternative medicine and holistic health practices. This is great news if you're looking to explore complementary therapies or integrate more natural approaches into your wellness routine.

While the specifics may vary depending on your employer's plan, LSAs are generally designed to be flexible and inclusive. This means that in addition to traditional medical expenses, you can often use your LSA to cover a wide range of alternative treatments.

Types of alternative medicine often covered by LSAs

So, what types of alternative medicine might be eligible under your LSA? Here are some common examples:

  • Acupuncture: This ancient Chinese practice involves the insertion of thin needles into specific points on the body to alleviate pain, reduce inflammation, and promote healing.
  • Chiropractic care: Chiropractors use manual adjustments and other techniques to align the spine, relieve pain, and improve overall function.
  • Massage therapy: Therapeutic massage can help reduce muscle tension, improve circulation, and promote relaxation.
  • Naturopathy: Naturopathic doctors use natural remedies like herbs, supplements, and lifestyle changes to support the body's innate healing abilities.
  • Homeopathy: This system of alternative medicine uses highly diluted substances to stimulate the body's self-healing mechanisms.
  • Herbal remedies: Many LSAs cover the cost of herbal supplements and teas used to treat specific health conditions.
  • Meditation and mindfulness: Stress reduction programs, meditation classes, and mindfulness apps may be eligible expenses under your LSA.
  • Nutritional counseling: Working with a registered dietitian or nutritionist can help you optimize your diet for better health and well-being.
  • Health coaching: A health coach can provide personalized guidance and support to help you achieve your wellness goals.
  • Energy healing: Practices like reiki, which involves the transfer of energy through touch, may be covered by some LSAs.

Of course, it's always a good idea to check with your employer or benefits provider to confirm which specific alternative medicine expenses are eligible under your plan.

Benefits of using an LSA for alternative medicine

Using an LSA to cover alternative medicine expenses comes with several advantages. Let's explore how this approach can benefit both you and your employer.

Increased flexibility and personalization

One of the biggest benefits of using an LSA for alternative medicine is the flexibility it provides. Rather than being limited to a one-size-fits-all approach, you can choose the specific therapies and practices that work best for your unique needs and preferences.

This level of personalization is key when it comes to health and wellness. What works for one person may not be effective for another. By having the freedom to select from a range of alternative medicine options, you can create a tailored wellness plan that supports your individual goals and challenges.

Improved employee well-being

Incorporating alternative medicine into your wellness routine can have a profound impact on your overall well-being. Many holistic health practices, such as acupuncture, massage therapy, and meditation, are designed to promote relaxation, reduce stress, and alleviate pain and discomfort.

By accessing these therapies through your LSA, you can take a proactive approach to your health and well-being. This can lead to improved physical health, better mental and emotional resilience, and a greater sense of balance and vitality in your daily life.

Cost savings

Alternative medicine treatments can sometimes be expensive, especially if they're not covered by traditional health insurance. However, by using your LSA funds to pay for these expenses, you can take advantage of pre-tax savings.

This means that the money you allocate to your LSA is deducted from your paycheck before taxes are applied. As a result, you'll have more buying power when it comes to alternative medicine expenses, making these treatments more affordable and accessible.

Attracting and retaining talent

For employers, offering an LSA that covers alternative medicine can be a powerful tool for attracting and retaining top talent. In today's competitive job market, employees are looking for more than just a paycheck – they want benefits that support their overall well-being and quality of life.

By providing an LSA with alternative medicine options, companies can differentiate themselves and show that they care about their employees' health and happiness. This can lead to increased job satisfaction, higher morale, and lower turnover rates.

Moreover, when employees have access to alternative therapies that keep them feeling their best, they're more likely to be engaged, productive, and present at work. This can translate into better business outcomes and a stronger bottom line for the company.

How do Lifestyle Spending Accounts work?

Lifestyle Spending Accounts (LSAs) are a flexible and customizable way for employers to support their employees' well-being. Here's a closer look at how they typically work:

First, your employer will set an annual contribution amount that will be added to your LSA. This amount may vary depending on factors like your job level, tenure, or location. Once the funds are available in your account, you can start using them to pay for eligible expenses.

When you incur an expense that qualifies under your LSA plan, you'll typically pay for it out of pocket and then submit a receipt or proof of purchase to your benefits provider for reimbursement. Some LSAs also offer a debit card that allows you to make purchases directly from your account balance, eliminating the need for reimbursement.

One of the key features of LSAs is their flexibility. Employers have the ability to customize the eligible expense categories and set spending limits based on their unique needs and priorities. For example, your company may choose to focus on wellness expenses like gym memberships and fitness classes, while another may prioritize work-life balance by covering childcare or eldercare costs.

It's important to note that LSA funds may or may not roll over from one year to the next, depending on how your employer has structured the plan. Some companies allow unused funds to carry over, giving you more flexibility to save up for larger expenses. Others operate on a "use it or lose it" basis, meaning any unspent money will be forfeited at the end of the plan year.

When it comes to alternative medicine expenses, many LSAs do include these treatments as eligible categories. However, it's always a good idea to check your specific plan details or reach out to your benefits provider to confirm what's covered. Some common examples of alternative therapies that may be eligible include acupuncture, chiropractic care, massage therapy, and herbal supplements.

If you're considering using your LSA for alternative medicine, there are a few key steps to keep in mind. First, make sure to familiarize yourself with your plan's eligible expense categories and any associated spending limits or requirements. Next, keep detailed records of your expenses, including receipts and any necessary documentation from your healthcare provider. Finally, submit your reimbursement claims promptly to ensure timely processing and payment.

By taking advantage of your LSA for alternative medicine expenses, you can prioritize your health and well-being while also enjoying valuable tax savings. With a little planning and organization, you can make the most of this flexible benefit and create a personalized wellness plan that works for you.

Are there any limitations on using LSAs for alternative medicine?

While LSAs offer a great deal of flexibility when it comes to covering alternative medicine expenses, there are some limitations to keep in mind. Ultimately, your employer has the final say on which specific therapies and treatments are eligible for reimbursement under your plan.

In some cases, you may need to provide a Letter of Medical Necessity (LMN) from your doctor to substantiate certain expenses. This is particularly common for alternative therapies that fall outside the realm of conventional medicine, such as herbal supplements or energy healing.

It's also important to note that LSA expenses must be tied to the treatment of a specific health condition, rather than just general wellness. For example, if you're using acupuncture to manage chronic pain, that would likely be an eligible expense. However, if you're getting acupuncture simply because you enjoy it and find it relaxing, that may not qualify for reimbursement.

Certain types of alternative therapies may have more limited eligibility under your LSA plan. Nutritional supplements, for instance, can be a bit of a gray area. While some supplements may be covered if they're recommended by a healthcare provider to treat a specific condition, others may be excluded if they're considered more preventative in nature.

To avoid any surprises or disappointment, it's always best to review your LSA plan details carefully and reach out to your benefits provider with any questions or concerns. They can provide guidance on which alternative medicine expenses are eligible, what documentation may be required, and how to go about submitting your claims for reimbursement.

By understanding the limitations and requirements surrounding LSA coverage for alternative medicine, you can make informed decisions about your health and wellness spending. With a little research and planning, you can take full advantage of this valuable benefit and incorporate the alternative therapies that matter most to you into your overall care plan.

What are some top Lifestyle Spending Account providers?

When it comes to choosing an LSA provider, you have several options. Here are a few of the top players in the market:

Forma is a leading LSA platform that offers a wide range of eligible expense categories. With Forma, you can customize your plan to include alternative medicine expenses like acupuncture, chiropractic care, and herbal supplements. The platform also provides a user-friendly interface and robust reporting tools to help you track your spending and utilization.

WEX is another well-known provider that offers both Health Savings Accounts (HSAs) and Lifestyle Spending Accounts. Their LSA solution is designed to be flexible and adaptable, allowing employers to create plans that meet their unique needs and priorities. WEX also offers a mobile app and debit card for easy expense management on the go.

Ameriflex is a provider that offers LSAs alongside other pre-tax benefits like Flexible Spending Accounts (FSAs) and Health Reimbursement Arrangements (HRAs). Their LSA platform is known for its ease of use and comprehensive customer support, making it a good choice for employers who want a streamlined solution.

Benepass is an LSA provider that focuses on holistic well-being and personalized perks. Their platform includes a wide range of eligible expense categories, including alternative medicine, mental health, and financial wellness. Benepass also offers a rewards program that incentivizes employees to engage with their benefits and make healthy choices.

When evaluating LSA providers, consider factors like the range of eligible expenses, the ease of use for both employers and employees, and the level of customer support provided. You may also want to look for providers that offer integration with your existing benefits administration platform or HRIS system.

Ultimately, the right LSA provider for you will depend on your specific needs and priorities. Take the time to research your options and compare features and pricing to find the best fit for your organization.

How can I get the most out of my LSA for alternative medicine?

To maximize the benefits of your LSA for alternative medicine, consider these strategies:

Choose an LSA provider with robust alternative health options

When selecting an LSA vendor, look for one that supports a wide range of holistic therapies. This will give you the flexibility to choose the alternative treatments that best suit your needs and preferences.

Educate yourself on eligible expenses

Work with your HR team or LSA provider to understand which alternative treatments are covered under your plan. This will help you avoid any surprises or disappointments when submitting claims for reimbursement.

Plan ahead and budget wisely

Since LSA funds are limited, it's important to prioritize the alternative therapies that will have the greatest impact on your well-being. Take some time to research different treatment options and their associated costs, and create a budget that aligns with your health goals and available funds.

Keep good records

To ensure smooth reimbursement of your alternative medicine expenses, retain all receipts and documentation related to your treatments. This may include itemized bills, provider notes, or Letters of Medical Necessity (LMNs) if required by your LSA plan.

Communicate with your healthcare providers

Let your primary care physician and any specialists know that you're interested in incorporating alternative medicine into your overall care plan. They can provide valuable guidance on which therapies may be most effective for your specific health needs and help you coordinate your care across different modalities.

Take advantage of preventative care options

Many LSAs cover preventative care expenses like annual check-ups, screenings, and immunizations. By staying up-to-date on these important health maintenance activities, you can catch potential issues early and reduce your risk of more serious problems down the line.

Explore virtual and online resources

In today's digital age, there are many ways to access alternative medicine services from the comfort of your own home. Look for LSA-eligible expenses like telemedicine consultations, online yoga or meditation classes, and digital wellness apps that can support your health goals on your own schedule.

Don't forget about mental health

Alternative medicine isn't just about physical health – it can also be a powerful tool for supporting mental and emotional well-being. If your LSA covers expenses like therapy, counseling, or stress reduction programs, consider incorporating these services into your self-care routine.

By following these tips and making the most of your LSA benefits, you can create a personalized alternative medicine plan that supports your unique health needs and helps you feel your best.

Is an LSA for alternative medicine worth it?

The value of using an LSA for alternative medicine ultimately comes down to your individual needs and preferences. If you regularly use holistic health services like acupuncture, chiropractic care, or herbal supplements, an LSA can provide significant cost savings and tax advantages.

With an LSA, you can set aside pre-tax dollars to pay for these expenses, which means you'll have more buying power when it comes to affording the alternative therapies that matter most to you. Plus, you'll have the flexibility to choose the specific treatments and providers that align with your unique health goals and challenges.

From an employer perspective, offering an LSA that covers alternative medicine can be a smart move for boosting recruitment, retention, and overall employee satisfaction. When you feel empowered to take control of your well-being and access the care that works best for you, you're more likely to feel supported and valued by your employer.

That said, an LSA for alternative medicine may not be a top priority for everyone. If you rarely use holistic health services or prefer to stick with more conventional medical treatments, you may find that other types of benefits, like a comprehensive health insurance plan or a robust Employee Assistance Program (EAP) , are more valuable to you.

Before deciding whether an LSA for alternative medicine is worth it, take some time to assess your current and future health needs, as well as your overall budget and financial goals. Consider how much you typically spend on alternative therapies in a given year, and weigh that against the potential tax savings and convenience of using an LSA.

If you do decide to take advantage of an LSA for alternative medicine, be sure to familiarize yourself with your plan's specific rules and requirements. This may include understanding which expenses are eligible for reimbursement, what documentation you'll need to provide, and any deadlines for submitting claims.

Forma makes it easy to use your Lifestyle Spending Account (LSA) for alternative medicine by offering a flexible, user-friendly platform that supports a wide range of eligible wellness expenses. With customizable plan options and seamless reimbursements, you can prioritize your health in the way that works best for you. 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.

Get started with Forma today

Looking to offer an LSA as part of your employee benefits package? At Forma, we provide Lifestyle Spending Accounts to companies worldwide.

If you want your business to enhance employee wellbeing through the flexibility of LSAs, fill out the form below, and one of our experts will be in touch.