Yes, vaccinations are eligible for reimbursement with a Flexible Spending Account (FSA) or Health Savings Account (HSA) when they are used to prevent or treat a medical condition.
Why Are Vaccinations FSA/HSA Eligible?
Vaccinations are considered preventive medical care under IRS Code Section 213(d), which allows tax-free reimbursement for procedures that diagnose, treat, or prevent illness. Vaccines help protect against serious infectious diseases and are a key part of both individual and public health.
According to IRS Publication 502, the cost of immunizations—including routine, travel-related, and medically necessary vaccinations—is eligible for reimbursement with FSA and HSA funds.
FSA- and HSA-eligible vaccinations include:
Routine childhood immunizations
Annual flu shots
COVID-19 vaccines and boosters
Travel vaccines (e.g., hepatitis A/B, typhoid, yellow fever)
HPV (human papillomavirus) vaccine
Tetanus, diphtheria, and pertussis (Tdap) vaccine
Pneumonia and shingles vaccines for adults
What’s Not Covered?
The following are not eligible:
Vaccinations that are not approved or recommended by a healthcare provider
Optional vaccines administered for non-medical or cosmetic reasons
Vaccines provided by unlicensed providers
To qualify, vaccinations must be administered or prescribed by a licensed medical professional.
How to Use Your FSA or HSA for Vaccinations
To pay for vaccinations with your FSA or HSA:
Use your FSA or HSA card at your doctor’s office, pharmacy, or public health clinic
Ask for an itemized receipt showing the vaccine administered, provider, and date
Keep records in case your plan administrator requests documentation of medical necessity
For a full list of reimbursable immunizations and healthcare services, refer to IRS Publication 502.
