Use Your HSA or FSA for Birth & Postpartum Doula Care—Here’s Exactly How
Many families successfully apply pre-tax benefits to doula support when services meet “medical care” criteria and a Letter of Medical Necessity (LMN) is provided. Below is a clear, step-by-step path to follow.
How to Use HSA/FSA for Doula Care
- Check your plan. Log in to your benefits portal or call the number on your card. Ask if doula care is eligible with an LMN.
- Request an LMN. Your OB/midwife/PCP can note medical necessity (labor support strategies, postpartum physical recovery, lactation support education).
- Get itemized receipts. We provide invoices with service type, dates, and amounts—what portals usually require.
- Submit—and appeal if needed. Many approvals happen on review with clearer documentation.
We do not provide tax or legal advice; final decisions rest with your plan administrator.
What’s typically eligible
- Birth doula support (comfort measures, positioning, partner coaching)
- Postpartum doula support related to recovery and newborn-care education
- Education & care planning when part of medical care and supported by LMN
What’s typically not eligible
- Services that are strictly non-medical (general childcare, housekeeping unrelated to recovery)
- Emotional support only without medical-care framing/LMN
- Anything your specific plan excludes
What your plan may ask for
- Letter of Medical Necessity — indicates why services are medically necessary and for how long
- Itemized invoice — dates of service, description, amount, provider info (Eden & Embrace LLC)
- Proof of payment — receipt or statement; some portals still require documentation even with HSA/FSA card use
Serving WV, VA, DC, MD, and PA — virtual & in-person (select areas).
Birth & Labor Support
Continuous presence with positioning, breathwork, and comfort measures; partner coaching to keep everyone grounded.
Postpartum Care
Recovery planning, lactation support education, gentle routines, and realistic setups for the fourth trimester.
FAQ: HSA/FSA & Doula Coverage
Is a doula FSA-eligible?
Often yes—with an LMN and itemized receipts. Policies vary by employer and plan.
Can I use HSA/FSA for a postpartum doula?
Frequently. LMNs citing recovery, lactation education, or mood support can strengthen approval.
What documentation is required?
An LMN plus an itemized invoice outlining service type, dates, and amounts paid/owed.
What if my claim is denied?
Appeal with clearer documentation—many approvals occur on review.
Can I pay directly with my HSA/FSA card?
Some plans allow it; others prefer reimbursement. We’ll guide next steps based on your plan.
Areas we serve
Eden & Embrace supports families across Pennsylvania, West Virginia, Washington, D.C., and Northern Virginia.