Yes, immunizations are fully eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA).
Why Are Immunizations FSA/HSA Eligible?
Immunizations (vaccinations) are preventive treatments that protect against infectious diseases. Because they are administered to prevent illness, immunizations are considered eligible medical expenses under IRS Code Section 213(d).
According to IRS Publication 502, expenses for vaccinations and immunizations are eligible for reimbursement using FSA or HSA funds. This includes routine vaccinations for adults and children, travel-related immunizations, and medically indicated boosters.
FSA- and HSA-eligible immunizations may include:
Childhood vaccines (e.g., MMR, DTaP, polio, varicella)
Annual flu shots
COVID-19 vaccinations and boosters
HPV (human papillomavirus) vaccine
Tetanus, hepatitis A and B, and meningococcal vaccines
Travel vaccines (e.g., typhoid, yellow fever, Japanese encephalitis)
Shingles (herpes zoster) vaccine for older adults
- Any CDC-recommended immunization administered by a licensed provider
What’s Not Covered?
The following are not eligible:
Vaccines administered for non-medical or entertainment purposes
Immunizations not approved by the CDC or FDA
Optional concierge or executive health services that include bundled vaccines without itemized billing
Charges unrelated to the immunization itself (e.g., non-medical consultation fees)
To qualify, the immunization must be FDA-approved, recommended by a healthcare provider, and administered by a licensed professional or facility.
How to Use Your FSA or HSA for Immunizations
You can use your FSA or HSA card to pay for eligible immunizations at a pharmacy, clinic, doctor’s office, or travel health center. If you pay out of pocket:
Request an itemized receipt showing the vaccine type and date of administration
Save documentation from your provider if part of a larger care plan
Submit your receipt to your plan administrator for reimbursement if needed
For more information, refer to IRS Publication 502.
