Yes, childbirth classes are partially eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA) when the class content focuses on labor and delivery preparation.
Why Are Childbirth Classes FSA/HSA Eligible?
Childbirth classes help expectant parents prepare for labor and delivery by teaching breathing techniques, pain management strategies, and what to expect during the birthing process. When the instruction relates to medically necessary preparation for childbirth, it qualifies as an eligible medical expense under IRS Code Section 213(d).
According to IRS Publication 502, portions of childbirth education classes that focus on labor and delivery may be eligible for reimbursement. However, portions of the class that cover newborn care, breastfeeding, or parenting are not considered eligible medical expenses.
FSA- and HSA-eligible portions of childbirth classes may include:
Breathing and relaxation techniques for labor
Pain management and coping strategies during childbirth
Instruction on labor stages, contractions, and delivery methods
What to expect during a hospital or birthing center experience
- Medical interventions and emergency procedures related to childbirth
What’s Not Covered?
The following are not eligible:
Instruction on infant care, diapering, feeding, or sleep routines
Breastfeeding education (though this may be separately eligible under lactation support)
Parenting classes or emotional preparation for parenthood
Partner or support person attendance fees, if separately charged
General wellness or non-medical childbirth preparation not tied to labor and delivery
To qualify, the expense must be specifically related to labor and delivery and provided by a qualified instructor.
How to Use Your FSA or HSA for Childbirth Classes
If the class covers both eligible and ineligible content:
Ask the instructor or facility for an itemized receipt separating the portion of the fee related to labor and delivery
Save documentation showing the class schedule or curriculum
Submit the documentation through your FSA or HSA provider for partial reimbursement, if required
For more information, refer to IRS Publication 502.
