Can I use a Lifestyle Spending Account (LSA) for weight management programs?
Wondering if your LSA covers fitness and nutrition programs? Explore 2025 weight loss eligibility and reimbursement tips.
In this piece
Are you curious about whether your company's Lifestyle Spending Account (LSA) covers weight management programs? You're not alone. Many employees wonder how they can use their LSA funds to support their health and wellness goals.
In this article, we'll explore what an LSA is and how it can be used to pay for a variety of expenses, including weight management programs. We'll also provide examples of other eligible expenses that can help you make the most of your LSA funds.
So, whether you're looking to shed a few pounds or simply maintain a healthy lifestyle, read on to learn how your LSA can support your journey.
What is a Lifestyle Spending Account (LSA)?
An LSA is an employer-funded account that allows you to pay for a wide range of expenses related to your personal well-being. Unlike a traditional health insurance plan, an LSA is funded with post-tax dollars and the eligible expenses are determined by your employer.
The purpose of an LSA is to provide you with a flexible and customizable way to pay for expenses that promote your overall wellness. This can include anything from gym memberships and fitness classes to financial planning services and pet insurance.
Examples of LSA-eligible expenses
The specific expenses that are eligible for reimbursement through your LSA will depend on your employer's plan. However, here are some common categories of expenses that may be covered:
- Health: This can include gym memberships, fitness classes, personal training sessions, nutritional counseling, and weight loss programs. Some plans may also cover alternative health treatments like acupuncture or massage therapy.
- Financial: Your LSA may cover expenses related to financial planning, such as consultations with a financial advisor, identity theft protection services, or educational courses on personal finance.
- Education: If you're looking to advance your career or pursue a new skill, your LSA may cover expenses like tuition for career-related courses, conference fees, or professional association dues.
- Family: Some LSAs may cover expenses related to family planning, such as adoption fees or fertility treatments. They may also cover pet insurance premiums or veterinary expenses.
- Time savers: To help you manage your busy lifestyle, your LSA may cover expenses like grocery delivery services, meal delivery subscriptions, or housecleaning services.
- Travel and entertainment: Depending on your employer's plan, your LSA may cover expenses related to personal travel, such as airfare, hotel accommodations, or rental cars. It may also cover entertainment expenses like concert tickets or camping gear.
Can you use an LSA for weight management programs?
Yes, you can use your Lifestyle Spending Account (LSA) to pay for weight management programs, as long as your employer includes them in the list of eligible expenses. This is one of the key advantages of an LSA over traditional health savings accounts like HSAs and FSAs.
Weight loss programs are a common expense covered by many LSA plans. This can include:
- Membership fees for weight loss centers like Weight Watchers or Jenny Craig
- Meal delivery services that provide portion-controlled, calorie-restricted meals
- Nutritional counseling with a registered dietitian
- Fitness trackers or apps that help you monitor your progress
- Personal training sessions or fitness classes designed for weight loss
Keep in mind that the specific programs and services covered by your LSA will depend on your employer's plan. Some plans may have restrictions or limitations on the types of weight management expenses that are eligible for reimbursement.
It's also important to note that while an LSA can be used to pay for weight management programs, it cannot be used to purchase weight loss supplements or medications. These expenses are typically not covered by an LSA unless they are prescribed by a doctor for a specific medical condition.
How do Lifestyle Spending Accounts differ from FSAs and HSAs?
While LSAs, FSAs, and HSAs all allow you to pay for health-related expenses with tax-advantaged funds, there are some key differences between these accounts.
Tax treatment
LSAs are funded with post-tax dollars by your employer, which means that any reimbursements you receive are considered taxable income. In contrast, FSAs and HSAs are funded with pre-tax dollars, either through employee contributions or employer contributions.
Medical necessity requirement
To be eligible for reimbursement under an FSA or HSA, an expense must be deemed medically necessary by a healthcare provider. This means that weight loss programs are only covered if they are prescribed by a doctor to treat a specific medical condition like obesity or diabetes.
With an LSA, there is no medical necessity requirement. Your employer can choose to cover weight management programs and other wellness expenses regardless of whether they are medically necessary.
Eligibility scope
LSAs have a broader scope of eligible expenses compared to FSAs and HSAs. In addition to traditional medical expenses like doctor visits and prescription drugs, LSAs can cover a wide range of wellness-related expenses such as gym memberships, fitness classes, and healthy eating programs.
FSAs and HSAs, on the other hand, are limited to expenses that are regulated by the IRS as qualified medical expenses. This means that many wellness expenses that are commonly covered by LSAs, such as fitness trackers or meditation apps, are not eligible for reimbursement under an FSA or HSA.
Prescription requirement
Another key difference between LSAs and FSAs/HSAs is the prescription requirement for weight loss programs. Under an FSA or HSA, weight loss programs are only eligible for reimbursement if they are prescribed by a doctor as a treatment for a medical condition.
With an LSA, there is no prescription requirement for weight management programs. As long as the expense is included in your employer's list of eligible expenses, you can use your LSA funds to pay for it without needing a doctor's note.
Employer Implementation of LSAs for Weight Management
When designing an LSA program, employers have the flexibility to choose which expenses are eligible for reimbursement. Many companies recognize the value of supporting their employees' health and wellness goals, including weight management.
Some common ways employers incorporate weight management into their LSA offerings include:
- Reimbursing membership fees for weight loss programs like Weight Watchers, Jenny Craig, or Noom
- Covering the cost of nutritional counseling sessions with registered dietitians
- Providing stipends for fitness trackers, gym memberships, or personal training sessions
- Offering meal delivery services that provide portion-controlled, calorie-restricted meals
The specific programs and services included in an LSA will vary depending on the employer's plan design. Some companies may opt for a broad approach, covering a wide range of weight management expenses, while others may choose to focus on specific programs or services that align with their corporate wellness goals.
Tax Implications of Using an LSA for Weight Management
It's important to understand the tax implications of using your LSA funds for weight management expenses. Because LSAs are funded with post-tax dollars by your employer, any reimbursements you receive are considered taxable income.
This means that if you use your LSA to pay for a weight loss program or nutritional counseling, the amount reimbursed will be added to your taxable income for the year. Your employer will include this amount on your W-2 form, and you'll need to report it on your tax return.
While this may result in a slightly higher tax bill, it's important to weigh the benefits of using your LSA funds for weight management against the potential tax implications. For many employees, the ability to access employer-funded resources for weight loss and wellness is well worth the additional tax liability.
Best Practices for Using an LSA for Weight Management
If you're considering using your LSA funds for weight management, there are a few best practices to keep in mind:
- Review your employer's plan documents: Before using your LSA funds for any expense, make sure to review your employer's plan documents to confirm that the expense is eligible for reimbursement. If you have any questions about what's covered, reach out to your HR department or LSA administrator for clarification.
- Keep detailed records: When using your LSA for weight management expenses, be sure to keep detailed records of your purchases, including receipts and any other documentation required by your employer. This will make the reimbursement process smoother and ensure that you have the necessary documentation in case of an audit.
- Consider combining with other benefits: If you have access to other health benefits like an FSA or HSA, consider using those accounts to pay for any weight management expenses that aren't covered by your LSA. This can help you maximize your tax savings and make the most of all your available benefits.
- Take advantage of employer-provided resources: Many employers offer additional resources to support their employees' weight management efforts, such as on-site fitness classes, healthy eating seminars, or wellness challenges. Take advantage of these resources to supplement your LSA-funded weight management program and achieve your health goals.
How to Get Reimbursed for Weight Management Expenses
The process for getting reimbursed for weight management expenses through your LSA will vary depending on your employer's plan design. However, most LSA reimbursement processes follow a similar pattern:
- Pay for the expense out of pocket: When you incur an eligible weight management expense, such as a membership fee for a weight loss program or a session with a nutritionist, pay for the expense with your own funds.
- Submit a reimbursement claim: After paying for the expense, submit a reimbursement claim to your LSA administrator. This typically involves filling out a claim form and providing documentation of the expense, such as a receipt or invoice.
- Wait for processing: Once you've submitted your claim, your LSA administrator will review it to ensure that the expense is eligible for reimbursement under your employer's plan. This process can take a few days to a few weeks, depending on the administrator and the complexity of the claim.
- Receive reimbursement: If your claim is approved, you'll receive reimbursement for the expense in the form of a check or direct deposit, depending on your employer's plan design. Keep in mind that the reimbursement amount will be added to your taxable income for the year.
Some employers may offer a debit card that's linked to your LSA funds, allowing you to pay for eligible expenses directly rather than submitting a claim for reimbursement. If your employer offers this option, be sure to review the documentation requirements and keep detailed records of your purchases in case of an audit.
What types of weight management expenses can an LSA cover?
LSAs offer flexibility in covering a range of weight management expenses. The specific eligible expenses will depend on your employer's plan, but here are some common categories:
Weight loss programs
Many LSAs reimburse fees for commercial weight loss programs. These structured programs often combine nutrition education, behavioral modification, and support to help participants lose weight. Popular options include WeightWatchers, Jenny Craig, and Noom.
Fitness memberships and classes
Regular physical activity is key to maintaining a healthy weight. Your LSA may cover the cost of gym memberships, allowing you to access a variety of exercise equipment and facilities. Some plans also reimburse fees for fitness classes like yoga, Pilates, spinning, or personal training sessions.
Wellness equipment
To support your weight loss efforts, your LSA may reimburse the purchase of certain wellness equipment. This could include fitness trackers to monitor your activity levels, home exercise equipment like treadmills or stationary bikes, and smart scales to track your progress.
Nutritional support
Making healthy food choices is central to any weight management plan. Some LSAs cover the cost of consultations with registered dietitians who can provide personalized nutrition advice and meal planning guidance. Meal delivery services that provide portion-controlled, calorie-restricted meals may also be eligible, as well as certain weight loss supplements.
Obesity treatments
In some cases, obesity may be treated as a medical condition. Depending on your employer's plan, your LSA may cover the cost of prescription weight loss medications or even certain medical procedures like gastric bypass surgery. However, these expenses are more commonly reimbursed through traditional health insurance plans.
It's important to carefully review your employer's LSA plan documents to understand which specific weight management expenses are eligible for reimbursement. Some plans may exclude certain categories of expenses or have limits on the amount you can claim for a particular type of expense.
If you have any questions about what your LSA covers, reach out to your HR department or plan administrator for guidance. They can help you understand your options and make the most of this valuable benefit as you work towards your weight management goals.
How do I get reimbursed for weight management expenses through my LSA?
The reimbursement process for weight management expenses through your LSA is straightforward. You'll need to pay for the eligible expense out of pocket, then submit a claim to your LSA administrator for reimbursement.
Submit itemized receipts
When submitting a claim, you'll need to provide itemized receipts for the weight management expenses you're seeking reimbursement for. These receipts should clearly show:
- The name of the service provider (e.g., Weight Watchers, your local gym, or a registered dietitian)
- The date of the service or purchase
- A description of the item or service (e.g., "monthly membership fee" or "nutrition counseling session")
- The amount paid
Make sure to keep your receipts organized and easily accessible in case your LSA administrator requests additional documentation.
Provide any necessary prescriptions or LMNs
While LSAs typically don't require a Letter of Medical Necessity (LMN) or physician's prescription for weight management expenses, it's a good idea to include any supporting documentation you have. This could include a note from your doctor recommending a specific weight loss program or a prescription for a weight management medication.
Including this documentation upfront can help streamline the reimbursement process and avoid any delays or requests for additional information from your LSA administrator.
Submit claim through LSA administrator
Once you have your receipts and any necessary documentation, you'll need to submit your claim through your LSA administrator. The exact process for this will vary depending on your employer's plan, but most administrators offer a few different options:
- Online portal: Many LSA administrators have an online portal where you can log in, fill out a claim form, and upload your receipts electronically.
- Mobile app: Some administrators offer a mobile app that allows you to submit claims on the go by taking photos of your receipts and filling out a digital claim form.
- Mail or fax: If you prefer a paper-based process, you can usually print out a claim form from your LSA administrator's website, fill it out, and mail or fax it in along with your receipts.
If you're not sure how to submit a claim, reach out to your HR department or LSA administrator for guidance. They can walk you through the process and answer any questions you may have.
Receive reimbursement
After you've submitted your claim, your LSA administrator will review it to ensure that the expenses are eligible for reimbursement under your plan. If everything looks good, they'll approve the claim and process the reimbursement.
Depending on your employer's plan, you may receive the reimbursement in a few different ways:
- Direct deposit: Many LSA administrators offer the option to have your reimbursement deposited directly into your bank account. This is often the fastest and most convenient option.
- Check: Some administrators may mail you a physical check for the reimbursement amount. This can take a bit longer than direct deposit, but it's still a viable option.
- LSA balance: In some cases, your reimbursement may be added to your total LSA balance rather than being paid out directly to you. This allows you to use the funds for future eligible expenses.
Keep in mind that any reimbursements you receive from your LSA are considered taxable income. Your employer will include the reimbursed amount on your W-2 form at the end of the year, and you'll need to report it on your tax return.
What are the benefits of using an LSA for weight management?
Using your LSA for weight management expenses can offer several key benefits. First and foremost, LSAs provide unparalleled flexibility compared to other health spending accounts like FSAs and HSAs. With an LSA, you have the freedom to choose the specific programs, services, and products that best fit your unique needs and preferences. This could include anything from joining a local gym to purchasing a fitness tracker to enrolling in a meal delivery service.
Another advantage of using your LSA for weight management is the potential for tax savings. While it's true that LSA reimbursements are considered taxable income, using these funds to pay for eligible expenses can still save you money compared to paying out of pocket with purely after-tax dollars. This is because the reimbursements are typically processed quickly and easily, with minimal paperwork or hassle.
In addition to financial benefits, having access to LSA funds specifically earmarked for weight management can provide a powerful source of motivation and support as you work towards your health goals. Knowing that you have these resources available can encourage you to prioritize your well-being and stay committed to your weight loss plan over the long term.
Finally, LSAs offer a level of convenience that can make it easier to manage your weight management expenses. With broad eligibility criteria and streamlined reimbursement processes, you can spend less time worrying about the logistics of paying for your program and more time focusing on making healthy choices each day. Plus, many LSA administrators offer user-friendly online portals and mobile apps that simplify the process of submitting claims and tracking your account balance.
How can I maximize my LSA benefits for weight loss?
Once you've confirmed that your LSA covers weight management expenses, it's time to start thinking about how to make the most of this valuable benefit. With a little planning and creativity, you can stretch your LSA dollars further and get the support you need to reach your weight loss goals.
Understand your plan details
The first step in maximizing your LSA benefits is to thoroughly review your employer's plan documents. These documents will outline the specific expenses that are eligible for reimbursement, as well as any deadlines or limits you need to be aware of.
Pay close attention to the annual funding amount and any rollover policies. Some LSAs operate on a "use it or lose it" basis, meaning that any unused funds will be forfeited at the end of the plan year. Others allow you to roll over a certain amount to the next year, giving you more flexibility in how you use your benefits.
It's also important to understand the reimbursement process and any documentation requirements. Make sure you know how to submit claims, what types of receipts or proof of purchase are needed, and how long it typically takes to receive reimbursement.
Think outside the box
When it comes to using your LSA for weight management, it's easy to focus on obvious expenses like gym memberships or weight loss program fees. However, there are many other services and products that can support your weight loss efforts and may be eligible for reimbursement.
For example, your LSA may cover the cost of sessions with a registered dietitian or nutritionist who can help you develop a personalized meal plan and provide guidance on making healthy food choices. You may also be able to use your funds for meal preparation services or healthy food delivery, making it easier to stick to your diet even when you're short on time.
Other expenses to consider include stress reduction activities like yoga or meditation classes, as well as sleep improvement products like a white noise machine or comfortable bedding. Managing stress and getting enough quality sleep are important factors in weight loss success.
Combine with other benefits
Another way to maximize your LSA benefits is to use them in conjunction with other health and wellness resources available to you. This could include preventive care services covered by your health insurance plan, such as annual check-ups or screenings, as well as any wellness programs or incentives offered by your employer.
For example, if your company offers a discount on fitness trackers or a reimbursement for completing a health risk assessment, you could use these benefits to support your weight loss journey alongside your LSA funds. By combining multiple resources, you can create a comprehensive approach to weight management that fits your budget and lifestyle.
Re-evaluate often
Finally, it's important to regularly assess your LSA spending and make adjustments as needed to ensure you're getting the most value from your benefits. At the beginning of each plan year, take some time to set goals for how you want to use your LSA funds and create a rough budget for different categories of expenses.
As you start using your benefits, keep track of your spending and reimbursements. If you find that you're not using as much as you expected in certain areas, consider reallocating those funds to other eligible expenses that may be more helpful for your weight loss efforts.
It's also a good idea to stay up to date on any changes to your employer's LSA plan, as the list of eligible expenses or reimbursement policies may evolve over time. By staying informed and proactive, you can make the most of this valuable benefit and get the support you need to achieve your weight management goals.
How do I enroll in an LSA to start saving on weight management expenses?
If you're interested in using an LSA to help offset the cost of weight management programs and services, the first step is to check with your HR department or benefits administrator to see if your employer currently offers this type of account. Many companies are recognizing the value of LSAs in supporting employee health and well-being, so there's a good chance that this benefit may be available to you.
If your employer does offer an LSA, they will provide you with instructions on how to enroll and set up your account. This process typically involves completing some paperwork or an online enrollment form, where you'll have the opportunity to review the plan details and eligible expenses. Make sure to carefully read through this information and ask any questions you may have to fully understand how the LSA works and what types of weight management expenses are covered.
Once you're enrolled, you can start using your LSA funds to pay for eligible programs and services. Keep in mind that you'll need to submit receipts or other documentation to your plan administrator in order to be reimbursed, so be sure to save all of your records and follow the claim submission process outlined in your plan documents.
If your employer doesn't currently offer an LSA, don't be discouraged. You can express your interest in this type of benefit to your HR department, highlighting the many advantages it can offer for employee health, productivity, and overall satisfaction. Sharing resources like this informative article on what an LSA is and how it works can help educate your employer on the value of this benefit and potentially encourage them to consider adding it to their offerings in the future.
In the meantime, there may be other health and wellness benefits available to you that can support your weight management goals, such as discounted gym memberships, on-site fitness classes, or nutrition counseling services. Be sure to explore all of the options available to you and take advantage of any resources that can help you achieve your health objectives.
Is an LSA the best way to save money on weight loss costs?
For many employees, an LSA can be a smart way to save on weight management expenses. These accounts offer a convenient, flexible way to pay for a wide range of eligible programs and services, from gym memberships and fitness classes to nutrition counseling and meal delivery.
One key advantage of using an LSA for weight loss costs is the potential for tax savings. While LSA reimbursements are considered taxable income, they can still help you stretch your dollars further compared to paying out of pocket with purely after-tax funds. The exact impact on your taxes will depend on factors like your income bracket and your employer's specific plan setup.
To determine if an LSA is the most cost-effective option for your weight management needs, it's a good idea to crunch the numbers and compare against other potential savings vehicles. For example, if you have access to an FSA or HSA, you may be able to use those accounts to pay for certain weight loss expenses on a pre-tax basis, which could result in even greater savings.
You might also consider whether you can claim any weight loss expenses as tax deductions. The IRS allows taxpayers to deduct qualifying medical expenses that exceed 7.5% of their adjusted gross income, which could include costs like weight loss program fees or obesity treatments prescribed by a doctor.
Ultimately, the best way to save money on weight loss costs will depend on your unique financial situation and the specific resources available to you. An LSA can be a valuable tool in your arsenal, but it's worth exploring all of your options to find the most cost-effective approach.
If you're not sure where to start, consider reaching out to your HR department or benefits administrator for guidance. They can help you understand the details of your employer's LSA plan and how it stacks up against other savings opportunities.
And if your employer doesn't currently offer an LSA, there are tools available that can make it easy for them to add this benefit to their lineup. Platforms like Forma's LSA solution streamline the process of setting up and managing an LSA, so companies of all sizes can offer best-in-class benefits to their teams.
Forma makes it easy for employers to offer flexible benefits like LSAs, helping you cover weight management programs and other wellness expenses. With a seamless platform and broad eligibility options, you can maximize your benefits without the hassle. 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.