Yes, a vasectomy is eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA).
Why Is a Vasectomy FSA/HSA Eligible?
A vasectomy is a medically recognized sterilization procedure for men. Because it permanently alters the reproductive system to prevent conception, it qualifies as a medical expense under IRS Code Section 213(d). This includes costs associated with the procedure itself, as well as related pre- and post-operative care.
According to IRS Publication 502, legal sterilization procedures are considered eligible medical expenses. A vasectomy is one of the most common examples of male sterilization and does not require any special documentation or approval to qualify for FSA or HSA use.
FSA- and HSA-eligible vasectomy expenses include:
Surgeon and facility fees
Anesthesia
Pre-operative consultation
Post-operative follow-up visits
- Medications prescribed for recovery
What’s Not Covered?
The following are not eligible:
Vasectomy reversal procedures
Elective services unrelated to the sterilization
Cosmetic procedures done in conjunction with a vasectomy
To qualify, the procedure must be performed by a licensed medical provider and for the purpose of permanent birth control.
How to Use Your FSA or HSA for a Vasectomy
To pay for a vasectomy with your FSA or HSA:
Use your FSA or HSA card at the provider's office or surgical center
Request an itemized receipt showing the name of the procedure and associated charges
Keep documentation of the medical necessity if requested by your plan administrator (though not typically required for vasectomy)
For full details on eligible services, refer to IRS Publication 502.
