Hair removal is not eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA).
Why Is Hair Removal Not FSA/HSA Eligible?
Hair removal procedures and products are considered cosmetic in nature because they are performed or used for aesthetic purposes rather than to diagnose, treat, or prevent a medical condition. As such, they do not meet the definition of medical care under IRS Code Section 213(d).
According to IRS Publication 502, cosmetic procedures and related expenses that improve appearance but do not serve a medical function are not eligible for reimbursement. Hair removal services—whether performed at home or in a medical setting—fall into this category.
What’s Not Covered?
Laser hair removal and electrolysis treatments
At-home hair removal devices and kits
Shaving creams, razors, waxing kits, and depilatory products
Salon or spa services for cosmetic hair removal
Any procedure or product used for personal grooming or aesthetic reasons
LMN and Exceptions
Hair removal expenses are not eligible under normal circumstances, even with a Letter of Medical Necessity (LMN).
The only exceptions are extremely rare and may involve treatment that is medically necessary to address a specific condition such as:
Excessive hair growth (hirsutism) caused by a diagnosed hormonal disorder
Hair removal required for a medical procedure, such as preparing a surgical site
In these limited cases, documentation from a physician and administrator pre-approval would be required, and only the portion of the expense directly tied to the medical condition or procedure could be eligible.
Because cosmetic intent disqualifies most hair removal procedures and products, reimbursement is almost never approved.
