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Can I use a Lifestyle Spending Account (LSA) for holistic health programs?

Explore whether holistic health programs qualify for lifestyle spending account coverage and how to use your LSA for alternative therapies.

Are you looking to improve your overall well-being through holistic health programs but not sure if your benefits cover it?

You may be able to use your Lifestyle Spending Account (LSA) to pay for these expenses.

In this article, we'll explain what an LSA is and provide examples of eligible holistic health expenses that your LSA might cover.

What is a Lifestyle Spending Account (LSA)?

A Lifestyle Spending Account is an employer-funded benefit that provides you with funds to spend on a wide variety of wellness and lifestyle expenses. Unlike traditional health insurance or Health Savings Accounts that have strict rules around eligible expenses, LSAs offer more flexibility and choice.

The purpose of an LSA is to support your overall well-being by allowing you to personalize your benefits to your unique needs and preferences. Whether you're interested in fitness, mental health, nutrition, or preventive care, an LSA can help you access the programs and services that matter most to you.

Examples of LSA eligible expenses

LSA eligible expenses can vary depending on your employer's plan design, but holistic health programs are a common category. Here are some examples of holistic health expenses that may be covered under your LSA:

Alternative therapies: This can include treatments like acupuncture, reiki, Ayurvedic medicine, and energy healing. These therapies focus on balancing the body's energy systems to promote physical and emotional well-being.

Mental wellness: Many LSAs cover expenses related to mental health and stress reduction, such as meditation apps, mindfulness retreats, and sound therapy sessions. These programs can help you manage stress, improve focus, and enhance overall mental well-being.

Nutritional support: LSAs can also cover expenses related to healthy eating, such as consultations with a nutritionist, herbal supplements, and organic meal delivery services. These programs can help you develop healthy eating habits and optimize your nutrient intake.

Preventive care: Finally, LSAs often cover proactive health expenses like yoga classes, tai chi, and stress management workshops. These activities can help you maintain good health, improve flexibility and balance, and reduce your risk of chronic diseases.

What types of holistic health programs are eligible for LSA reimbursement?

LSAs can cover a wide range of holistic health services, allowing you to create a personalized wellness plan that fits your needs and preferences. Here are some common categories of eligible expenses:

Alternative and complementary therapies

Many LSAs cover alternative and complementary therapies that are not typically included in traditional health insurance plans. These may include:

  • Acupuncture: This ancient Chinese practice involves inserting thin needles into specific points on the body to alleviate pain, reduce stress, and promote healing.
  • Chiropractic care: Chiropractors use manual adjustments and other techniques to alleviate pain, improve mobility, and promote overall wellness.
  • Massage therapy: Therapeutic massage can help reduce muscle tension, alleviate stress, and promote relaxation.

Mind-body practices

LSAs often cover mind-body practices that promote mental and physical well-being. Examples include:

  • Meditation: Meditation apps, classes, and retreats can help you develop mindfulness skills and reduce stress.
  • Mindfulness: Mindfulness-based stress reduction (MBSR) programs teach you how to cultivate present-moment awareness and cope with stress more effectively.
  • Yoga: Yoga classes and workshops can help improve flexibility, strength, and mental clarity.
  • Tai chi: This gentle Chinese exercise combines slow, flowing movements with deep breathing and meditation to promote balance, coordination, and relaxation.

Nutritional and herbal medicine

LSAs may cover expenses related to nutritional and herbal medicine, such as:

  • Nutritional counseling: Consultations with a registered dietitian can help you develop a personalized nutrition plan based on your health goals and dietary needs.
  • Supplements: Herbal and nutritional supplements, such as vitamins, minerals, and adaptogens, may be eligible for reimbursement.
  • Organic food: Some LSAs may cover the cost of organic meal delivery services or grocery purchases to support healthy eating habits.

Energy healing modalities

Energy healing modalities focus on balancing the body's subtle energy systems to promote physical, emotional, and spiritual well-being. LSA-eligible expenses may include:

  • Reiki: This Japanese technique involves light touch or hands-off healing to promote relaxation and stress relief.
  • Qigong: This Chinese practice combines gentle movement, breathing exercises, and meditation to cultivate vital energy (qi) and improve overall health.
  • Crystal healing: Some LSAs may cover the cost of crystal healing sessions or workshops, which use the vibrational properties of crystals to promote balance and well-being.

Lifestyle and preventive care

Finally, LSAs often cover lifestyle and preventive care expenses that promote overall health and wellness, such as:

  • Stress management: Stress management programs, workshops, and coaching sessions can help you develop coping skills and build resilience.
  • Sleep programs: Sleep coaching, education, and support can help you develop healthy sleep habits and improve the quality of your rest.
  • Health coaching: Health coaches can provide personalized guidance and support to help you achieve your wellness goals, such as weight management, fitness, and stress reduction.

Benefits of using an LSA for holistic health

Using your LSA for holistic health programs offers several advantages that can positively impact your overall well-being and job satisfaction. Let's explore some of the key benefits:

Supports employee well-being

Holistic health programs address the interconnected aspects of your physical, mental, and emotional health. By using your LSA for these services, you can take a proactive approach to your well-being, preventing burnout and promoting resilience. This comprehensive support can lead to better health outcomes and increased job satisfaction.

Provides personalized options

Everyone's wellness needs and preferences are unique. Your LSA allows you to choose the holistic health programs that resonate with you, whether it's acupuncture for chronic pain, meditation for stress relief, or nutritional counseling for healthy eating habits. This personalization ensures that you get the most value from your benefits and can tailor your wellness plan to your specific goals.

Enhances benefits package

Offering LSAs for holistic health programs can help your employer stand out in a competitive job market. These innovative perks demonstrate a commitment to employee well-being and can attract top talent who value a comprehensive benefits package. Additionally, investing in employee wellness can lead to reduced healthcare costs and increased productivity for your company.

Promotes work-life balance

Juggling work and personal responsibilities can be stressful, leaving little time for self-care. By using your LSA for holistic health programs, you can prioritize your well-being and maintain a healthy work-life balance. Whether it's attending a yoga class after work or taking a mindfulness retreat on the weekend, these activities can help you recharge and return to work with renewed energy and focus.

Potential tax advantages

Depending on your employer's LSA plan design and the specific holistic health expenses, you may be able to enjoy tax advantages. Some expenses, such as acupuncture or chiropractic care, may be tax-deductible if they qualify as medical expenses under IRS rules. Additionally, if your employer offers an LSA with pre-tax contributions, you can save money on taxes while investing in your well-being.

How do Lifestyle Spending Accounts work for holistic health expenses?

If you're interested in using your LSA for holistic health programs, it's important to understand how the reimbursement process works. Here's a step-by-step overview:

  1. Your employer determines the annual budget for your LSA and selects the eligible expense categories, which may include holistic health programs.
  2. When you incur an expense related to a holistic health program, such as acupuncture or a meditation retreat, you pay for it out of pocket.
  3. To request reimbursement, you submit a claim to your LSA administrator, typically through an online portal or mobile app. You'll need to provide a receipt or other proof of payment.
  4. The LSA administrator reviews your claim to ensure that the expense is eligible under your plan's guidelines. If the claim is approved, the funds will be reimbursed to you.
  5. Depending on the type of expense and your employer's plan design, the reimbursement may be tax-free or treated as taxable income. Your LSA administrator or HR department can provide guidance on the tax implications.

Some LSA plans offer the convenience of a debit card, which allows you to pay for eligible expenses directly without the need for reimbursement. However, you may still be required to submit receipts to verify the expense.

It's important to keep track of your LSA balance and submit claims promptly to ensure that you're maximizing your benefits. Your LSA administrator should provide resources and support to help you navigate the reimbursement process and make the most of your holistic health benefits.

Are there any limitations on LSA holistic health coverage?

While LSAs offer a wide range of holistic health benefits, it's important to understand that there may be some limitations on coverage. Your employer determines the specific eligible expenses and exclusions for your plan, so it's essential to review your plan documents or consult with your HR department for guidance.

Some common limitations on LSA holistic health coverage include:

Reimbursement caps: Your plan may have annual or per-service reimbursement limits for certain therapies or treatments. For example, your LSA might cover up to $500 per year for acupuncture or limit massage therapy to 12 sessions per year.

Provider qualifications: LSAs typically only cover services provided by licensed or accredited practitioners. Expenses related to unlicensed or non-accredited providers, such as energy healers or crystal therapists, may not be eligible for reimbursement.

Ineligible expenses: Expenses primarily related to recreation, fitness, or beauty are generally not covered by LSAs. For instance, while yoga classes for stress reduction might be eligible, a gym membership for general fitness likely would not be.

Excluded treatments: Some holistic health treatments may be excluded from coverage based on your employer's plan design. These exclusions could include experimental therapies, non-medically necessary services, or treatments deemed ineffective by scientific evidence.

To maximize your LSA benefits for holistic health, it's important to carefully review your plan's guidelines and exclusions. If you have questions about the eligibility of a specific expense, reach out to your LSA administrator or HR department for clarification before incurring the expense.

How to maximize your LSA for holistic health

To get the most value from your LSA for holistic health programs, it's important to be strategic about how you use your funds. Here are some tips to help you maximize your benefits:

Review your company's LSA policy

Before you start using your LSA for holistic health expenses, take the time to thoroughly review your company's policy. Understand which expenses are eligible for reimbursement, any limits or caps on coverage, and the process for submitting claims. This will help you avoid surprises and ensure that you're using your funds effectively.

Prioritize high-impact therapies

With so many holistic health options available, it can be challenging to decide where to allocate your LSA funds. Focus on the treatments and programs that will have the greatest impact on your overall well-being. For example, if you struggle with chronic stress, investing in a mindfulness-based stress reduction course may be more beneficial than a one-time crystal healing session.

Utilize in-network providers

Some LSA plans have preferred provider networks for holistic health services. These in-network providers may offer discounted rates or streamlined billing processes, making it easier for you to maximize your benefits. Check with your LSA administrator to see if they have any recommended holistic health partners in your area.

Combine with other health benefits

Your LSA is just one piece of your overall health benefits package. Look for opportunities to coordinate your LSA with your other benefits, such as health insurance or a Health Savings Account (HSA), to optimize your coverage. For example, if your insurance covers chiropractic care with a copay, you could use your LSA to cover the copay and reduce your out-of-pocket costs.

Plan ahead for major expenses

Some holistic health programs, such as multi-day retreats or intensive coaching packages, can be costly. If you're interested in these types of experiences, plan ahead and budget your LSA funds strategically. Consider setting aside a portion of your annual allocation specifically for these larger expenses, and use the remainder for ongoing maintenance and support.

Remember, your LSA is a valuable tool for investing in your holistic health and well-being. By being proactive and strategic about how you use your funds, you can create a personalized wellness plan that supports your physical, mental, and emotional health goals.

5 tips for implementing a successful holistic health LSA

Implementing a successful holistic health LSA requires careful planning and ongoing support. Here are five tips to help you create a program that meets your employees' needs and maximizes engagement:

Align with employee needs

Before launching your holistic health LSA, take the time to understand what your employees are looking for in a wellness program. Survey your staff to identify the specific holistic health benefits they value most, such as acupuncture, mindfulness training, or nutritional counseling. Use this feedback to design an LSA that aligns with their preferences and priorities.

Communicate value and eligibility

Once you've designed your holistic health LSA, it's important to clearly communicate the program's value and eligibility requirements to your employees. Provide detailed information on what expenses are covered, any reimbursement limits or exclusions, and the process for submitting claims. Consider hosting informational sessions or webinars to educate employees on how to make the most of their LSA benefits.

Provide accessible resources

To support your employees in using their holistic health LSA, offer a directory of eligible providers and services in your area. This can include acupuncturists, chiropractors, massage therapists, meditation centers, and wellness coaches. Make this information easily accessible through your company intranet, benefits portal, or mobile app.

Encourage utilization

Encourage employees to take advantage of their holistic health LSA by promoting it as part of your overall wellness program and initiatives. Highlight success stories from colleagues who have used their LSA to improve their well-being, and offer incentives for participation, such as wellness challenges or rewards for reaching milestones. Regularly remind employees of the value of investing in their holistic health and the support available through their LSA.

Monitor usage and feedback

To ensure the ongoing success of your holistic health LSA, monitor usage patterns and gather feedback from your employees. Track LSA spend across different categories to identify popular services and potential areas for expansion. Use surveys, focus groups, or one-on-one conversations to gather input on what's working well and where there's room for improvement. Use this data to continuously refine and enhance your LSA program to better meet your employees' evolving needs.

Are Lifestyle Spending Accounts worth it for holistic health?

Investing in your well-being through holistic health programs can be a game-changer for your overall quality of life. However, these therapies and services can often come with a hefty price tag, especially if they're not covered by traditional health insurance plans. This is where Lifestyle Spending Accounts (LSAs) can make a significant difference.

LSAs can help you offset the costs of a wide range of holistic health expenses, from acupuncture and chiropractic care to mindfulness retreats and nutritional counseling. By taking advantage of these employer-funded benefits, you can access the personalized wellness support you need without breaking the bank.

Beyond the financial benefits, LSAs can also contribute to a better work-life balance. When you have the resources to prioritize your physical, mental, and emotional well-being, you're better equipped to manage stress, maintain focus, and bring your best self to both your personal and professional life. This, in turn, can lead to increased job satisfaction and a greater sense of overall fulfillment.

Employers also stand to benefit from offering LSAs for holistic health. When employees have access to these personalized wellness resources, they're more likely to be healthier, more productive, and more engaged at work. This can translate into reduced healthcare costs, lower absenteeism, and improved morale for the company as a whole.

One of the key advantages of LSAs is their flexibility. Unlike one-size-fits-all wellness programs, LSAs allow you to choose the holistic health services that will have the greatest impact on your unique needs and goals. Whether you're looking to manage chronic pain, reduce stress, or optimize your nutrition, you can use your LSA funds to access the programs and providers that align with your personal wellness journey.

If you're considering using an LSA for your holistic health needs, it's important to carefully review your employer's plan details and consult with your benefits administrator to understand your options. With the right strategy and support, an LSA can be an incredibly valuable tool for investing in your well-being and unlocking your full potential, both at work and in life.

Forma makes it easy to use your Lifestyle Spending Account (LSA) for holistic health programs, giving you the flexibility to invest in your well-being on your terms. With a seamless platform and broad eligibility for wellness expenses, Forma helps you get the most value from your 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.