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Can I use a Lifestyle Spending Account (LSA) for grief counseling?

Learn if grief counseling services are covered by LSAs in 2025. Find eligibility criteria and documentation needed for reimbursement.

In today's fast-paced world, employee benefits are evolving to meet the diverse needs of the workforce. One such benefit that's gaining popularity is the Lifestyle Spending Account (LSA).

If you're wondering what an LSA is and how it can help you, you've come to the right place.

In this article, we'll dive into the details of LSAs, including what they cover and how they work, so you can make the most of this valuable benefit.

What is a Lifestyle Spending Account (LSA)?

A Lifestyle Spending Account (LSA) is an employer-funded account that provides you with a set amount of money to spend on a variety of wellness and lifestyle expenses. The specific expenses covered by an LSA vary depending on your employer's plan, but they typically include things like fitness memberships, mental health services, financial planning, and more.

One of the key benefits of an LSA is the flexibility it offers. Unlike traditional benefits packages that often have strict rules around what's covered, an LSA allows you to choose how to spend your funds based on your individual needs and preferences. This means you can use your LSA to pay for the wellness and lifestyle expenses that matter most to you, whether that's a gym membership, a meditation app subscription, or sessions with a financial advisor.

LSAs are funded entirely by your employer, which means you don't have to contribute any of your own money to the account. However, it's important to note that the funds in an LSA are considered taxable income, so you'll need to pay taxes on the amount you use.

Your employer determines the amount of money available in your LSA, as well as the specific expenses that are eligible for reimbursement. Some companies offer a set amount of money per year, while others provide a monthly allowance. The range of eligible expenses can also vary widely, from fitness and nutrition to mental health and stress management.

To use your LSA funds, you typically need to submit a claim for reimbursement along with receipts or other documentation showing that the expense is eligible under your employer's plan. Some LSA plans also offer a debit card that you can use to pay for eligible expenses directly.

How Do Lifestyle Spending Accounts Cover Grief Counseling?

Grief counseling can often be covered by an LSA, depending on how your employer structures the benefit. LSAs are designed to reimburse you for wellness and lifestyle expenses, with eligibility rules determined by each organization. Here's a detailed breakdown:

General Eligibility

Many LSAs explicitly include grief counseling as an eligible expense. Counseling services, including those for grief, are listed as eligible in multiple LSA policies. Mental health services such as therapy or counseling sessions are commonly covered under LSAs.

Employer Customization

Since employers define eligible expenses, coverage for grief counseling varies by plan. Some categorize it under broader mental health or wellness benefits, while others, like the ELCIC Group Services plan, specifically name grief counseling as eligible.

Tax Implications

Most LSA reimbursements are considered taxable income unless tied to IRS-qualified expenses, such as medical care under an HSA or FSA. Grief counseling may be tax-free if deemed a medical expense, but this requires coordination with IRS guidelines.

It's important to note some key differences between LSAs and HSAs/FSAs:

  • Flexibility: LSAs cover non-medical wellness expenses like gym memberships and hobbies that HSAs/FSAs typically exclude.
  • Documentation: Unlike HSAs/FSAs, which may require a letter of medical necessity for weight loss or certain therapies, LSAs generally don't need this for grief counseling.

To confirm coverage under your specific LSA, review your employer's policy for listed eligible expenses such as counseling or mental health. Submit receipts or invoices showing payments to a licensed grief counselor, and verify reimbursement rules with your HR or benefits administrator.

Examples of LSA-eligible counseling include bereavement support after a loved one's death, trauma-related grief linked to sudden or unexpected loss, and stress management programs addressing grief.

While many LSAs cover grief counseling, always confirm the details with your employer's specific plan documentation. Understanding your benefits can help you access valuable support during challenging times.

Key Differences Between LSAs and HSAs/FSAs for Grief Counseling

Flexibility

LSAs offer more flexibility than HSAs or FSAs when it comes to eligible expenses. While HSAs and FSAs are primarily designed to cover medical expenses, LSAs can be used for a wider range of wellness-related costs. This means that LSAs can cover expenses like gym memberships, stress management programs, and personal development courses that HSAs and FSAs typically exclude.

Documentation

Another key difference between LSAs and HSAs/FSAs is the documentation required for reimbursement. When using an HSA or FSA for certain expenses, like weight loss programs or alternative therapies, you may need to provide a letter of medical necessity from a healthcare provider. However, LSAs generally don't require this level of documentation for grief counseling expenses.

To use your LSA for grief counseling, you typically just need to submit receipts or invoices showing that you paid for sessions with a licensed counselor. This streamlined process can make it easier to access the support you need without jumping through extra hoops.

It's worth noting that while LSAs offer more flexibility and simpler documentation requirements, they do have some limitations. Unlike HSAs and FSAs, which offer tax advantages, LSA reimbursements are generally considered taxable income. This means you'll need to pay taxes on any money you receive from your LSA.

Additionally, LSAs are not subject to the same contribution limits as HSAs and FSAs. While this means your employer can choose to offer a more generous benefit, it also means that any unused funds at the end of the plan year may be forfeited or subject to different rollover rules than HSAs and FSAs.

Steps to Confirm LSA Coverage for Grief Counseling

To make sure your grief counseling expenses are eligible for reimbursement under your LSA, follow these steps:

1. Review Your Employer's LSA Policy

Start by carefully reviewing your employer's LSA plan documents. Look for specific language around eligible expenses, particularly anything related to counseling, therapy, or mental health services. If grief counseling is explicitly listed, you can feel confident about submitting those expenses for reimbursement.

If the policy language is unclear or you can't find a definitive answer, reach out to your HR department or benefits administrator for clarification. They can provide guidance on whether grief counseling is covered under your specific plan.

2. Submit Receipts or Invoices

Once you've confirmed that grief counseling is an eligible expense, make sure to keep detailed records of your sessions. This typically means saving receipts or invoices that clearly show the date, provider, and cost of each session.

When submitting your expenses for reimbursement, you'll need to provide this documentation as proof of the service. Make sure your receipts or invoices include the name and credentials of your grief counselor, confirming that they are a licensed provider.

3. Verify Reimbursement Rules

Before submitting your expenses, double-check your LSA's reimbursement rules and procedures. Some plans may require you to submit claims within a certain timeframe, such as 30 or 60 days from the date of service. Others may have specific forms or online portals for submitting expenses.

If you're unsure about the process, ask your HR department or benefits administrator for guidance. They can walk you through the steps and help ensure a smooth reimbursement experience.

Remember, while many LSAs cover grief counseling, the specifics can vary by employer. By taking the time to review your policy, submit proper documentation, and verify reimbursement rules, you can maximize this valuable benefit and access the support you need during a challenging time.

Examples of LSA-Eligible Grief Counseling

Grief is a deeply personal experience that can manifest in different ways. Recognizing this, many LSAs cover a range of grief counseling services to support employees through loss and bereavement. Here are some common examples of LSA-eligible grief counseling:

Bereavement support provides a safe space to process emotions, adapt to life changes, and develop coping strategies after losing a loved one. This type of counseling acknowledges the profound impact of loss and offers guidance through the grieving process.

Sudden or unexpected loss, such as accidents, violence, or suicide, can be particularly traumatic. Counseling for trauma-related grief helps individuals navigate the complex emotions and challenges that come with this type of loss, promoting healing and resilience.

Grief can often compound existing stress or create new stressors, affecting overall well-being. Stress management programs that address grief provide tools and techniques to better cope with the emotional and practical demands of loss, supporting both personal and professional functioning.

When exploring your LSA coverage for grief counseling, consider what type of support would be most beneficial for your unique situation. Whether you're seeking bereavement support, trauma-informed counseling, or stress management strategies, your LSA can connect you with the resources you need to process your grief and find a path forward.

Is Using an LSA for Grief Counseling Worth It?

When you're navigating the complex emotions of grief, the last thing you want to worry about is how to afford the support you need. This is where Lifestyle Spending Accounts (LSAs) can make a meaningful difference. Many employers offer LSAs as part of their benefits package, providing financial assistance for a range of wellness expenses, including grief counseling.

LSAs can be a game-changer when it comes to accessing mental health support during a difficult time. By covering some or all of the cost of grief counseling, LSAs remove a significant barrier to seeking help. This means you can prioritize your emotional well-being without worrying about the added strain of therapy bills.

Choosing to cover grief counseling under an LSA also sends a powerful message about your employer's values and commitment to employee well-being. It acknowledges that grief is a universal experience that requires support and understanding, both in and outside of the workplace. When an employer offers this type of coverage, it demonstrates a genuine investment in the holistic health of their team.

Of course, the specifics of what's covered under an LSA can vary by employer. That's why it's important to review your plan details carefully and reach out to your HR or benefits team with any questions. Forma's Lifestyle Spending Accounts streamline this process with a user-friendly platform that helps you easily access and manage your benefits.

In most cases, using an LSA for grief counseling is absolutely worth it. It allows you to prioritize your mental health during a challenging chapter without worrying about cost. Understanding what qualifies for LSA coverage empowers you to make the most of this valuable benefit and get the support you need to navigate loss and healing.

Forma simplifies Lifestyle Spending Account (LSA) management, making it easy for you to access benefits like grief counseling without the hassle. With flexible coverage options and a user-friendly platform, Forma helps you maximize your employer-sponsored wellness benefits. 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.