Yes, physical exams are fully eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA) when performed for medical care or preventive health purposes.
Why Are Physical Exams FSA/HSA Eligible?
A physical exam is a standard medical service used to assess overall health, identify risk factors, monitor chronic conditions, and detect potential medical issues early. Because these exams are conducted for the purpose of diagnosing, treating, or preventing illness, they are considered qualified medical expenses under IRS Code Section 213(d).
According to IRS Publication 502, the cost of routine and preventive health checkups is reimbursable through FSA and HSA accounts, as long as the exams are performed by a licensed medical provider.
FSA- and HSA-eligible physical exams include:
Annual wellness visits
General physicals for adults or children
Preventive screenings conducted during the exam
Exams required to monitor existing medical conditions
- Pre-employment or school physicals (if required for medical purposes)
What’s Not Covered?
The following are not eligible:
Physical exams required solely for non-medical reasons, such as life insurance applications, sports participation (unless required due to a medical condition), or travel
Executive physicals that include non-medical services like concierge wellness perks
Cosmetic or elective assessments not tied to health diagnosis or treatment
Missed appointment or administrative fees not related to care
To be eligible, the exam must be conducted for medical care, diagnosis, or prevention, and not for general interest or convenience.
How to Use Your FSA or HSA for Physical Exams
You can use your FSA or HSA card to pay directly at your provider’s office for eligible physical exams. If you pay out of pocket:
Request an itemized receipt showing the date of service and type of exam
Confirm the purpose of the exam is health-related (not for elective or convenience reasons)
Submit documentation to your FSA/HSA provider if requested
For full eligibility details, refer to IRS Publication 502.
