At-Home Drug Test: HSA Eligibility

At-home drug test reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA) as the primary purpose of the test is not to diagnose or treat a medical condition.

How do at-home drug tests work?

At-home drug tests are over-the-counter (OTC) products that are designed to indicate if one or more specific drugs or illegal substances are present in the body by testing hair and bodily fluid samples. The reasons behind a purchase of an at-home drug test vary from case to case, but their immediate uses include investigating whether a loved one has been doing drugs, helping an individual in rehab stay clean and disciplined or for self-examinations in advance of a test for work.

These testing methods range from the very basic to more advanced variants that can track both prescription and illegal substances. The three most common at-home drug tests will detect the presence of these substances in an individual's saliva, urine and hair follicles. Generally, urine/saliva tests are the products that can detect the widest range of potential drugs in the shortest amount of time, while hair follicle tests must be sent to a laboratory to obtain full results.

What do at-home drug tests check for?

At-home drug tests are used by government agencies, businesses, doctors and families to assess whether an individual has recently taken an illegal substance or drugs of abuse that are prescription medicines taken for non-medical purposes. These tests indicate the presence of drugs including oxycodone, ecstasy, marijuana, cocaine, barbiturates, methadone, methamphetamine, PCP, benzodiazepine, opiates, tricylic antidepressants and more (U.S. Food and Drug Administration).

Why isn't at-home drug test reimbursement eligible?

While drug use may point to larger issues of addiction and substance dependence, at-home drug tests are merely diagnostic tools and do not prevent or treat a legitimate medical condition. As such, they are not qualified for reimbursement with all consumer spending accounts that are designed to cover legitimate medical expenses.

Eligibility Table

Flexible Spending Account (FSA) Limited Care FSA Dependent Care FSA Health Savings Account (HSA) Health Reimbursement Account (HRA)


Eligible with Rx

Eligible with LMN

Not Eligible


AZ-PROD-WEB01 6/23/2018 6:02:43 AM