clinical careStatute: IRC §213(d) / IRS Pub 502

Is Mental Health Psychotherapy & Counseling Copays FSA Eligible?

Outpatient mental health counseling, psychotherapy, cognitive behavioral therapy (CBT), and psychiatry sessions conducted by licensed psychologists, LCSWs, or psychiatrists.

Quick Answer: Yes, It Is Covered

Yes! Mental Health Psychotherapy & Counseling Copays is 100% FSA and HSA eligible over-the-counter with no prescription or medical letter required.

Eligibility Criteria Matrix

Healthcare FSA (Flexible Spending)Eligible
HSA (Health Savings Account)Eligible
Doctor Prescription RequiredNo (OTC)
Letter of Medical Necessity (LMN)Not Required

Where to Buy & Typical Cost

Typical retail price range: $30 – $250

$30 – $250

Specialist / Provider Direct

Pay direct to clinic and file reimbursement

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Frequently Asked Questions: Mental Health Psychotherapy & Counseling Copays

Is Mental Health Psychotherapy & Counseling Copays covered by my FSA?

Yes, Mental Health Psychotherapy & Counseling Copays is an eligible healthcare expense under IRS Code Section 213(d). You can use your FSA card at point-of-sale or submit itemized receipts for direct reimbursement.

Do I need a prescription to buy Mental Health Psychotherapy & Counseling Copays?

No prescription is needed. Over-the-counter health supplies and medications have been fully eligible without a doctor's prescription since the CARES Act of 2020.

What documentation do I need to keep for my Mental Health Psychotherapy & Counseling Copays claim?

Save an itemized receipt or receipt email showing the merchant name, date of purchase, product description ("Mental Health Psychotherapy & Counseling Copays"), and amount paid. Credit card statements alone do not satisfy IRS audit requirements.

Where is the best place to purchase Mental Health Psychotherapy & Counseling Copays with an FSA card?

You can purchase directly at FSA-certified online retailers such as the FSA Store, or on Amazon using the FSA/HSA filter. Both accept benefits cards directly during checkout.