Can you use FSA or HSA for LASIK? 2025 Update

Yes, you can use your FSA and HSA to help with the cost of your LASIK procedure. For the tax year 2025, the IRS announced the annual contribution limits for both the Flexible Spending Account (FSA) and the Health Savings Account (HSA). Those who have access to these accounts may be interested to learn they can use their FSA or HSA for laser vision correction, such as LASIK, as these procedures are eligible expenses according to the IRS.

HSAs and FSAs are popular options for financing LASIK

The 2025 limits for pre-tax contributions to HSA and FSA accounts rose significantly to help consumers keep up with inflation. An individual can set aside up to $3,300 in a healthcare Flexible Spending Account (also known as a Flexible Spending Arrangement) in 2025, a $100 increase over the 2024 limit. The IRS recently announced that the FSA contribution limit for the 2025 plan year for families is $6,600, and the cap on carryover of funds from the 2024 plan year is $660. Although they are not required to, some employers choose to contribute to employee FSA accounts. 

Another pre-tax health funding option is known as a Health Savings Account (HSA).  For 2025, individuals can set aside up to $4,300 and families up to $8,550 in an HSA.

Because FSAs or HSAs can be used to cover some or all of the cost of LASIK surgery using pre-tax money, they are a popular way to save for and on laser eye surgery procedures and a smart long-term investment. It is extremely important to have an eye care professional look at your LASIK prescription requirements, which can help patients reduce or, in some cases, eliminate their need for prescription eyeglasses and/or contact lenses.

“Every day I see patients who use their flexible spending or health savings accounts to pay for their LASIK surgery,” said Dr. Eric Donnenfeld, a member of the Refractive Surgery Council. “By doing this, they are saving money on a lifetime of vision care costs using tax-free money.”

What is an FSA?

An FSA allows you to set aside pre-tax dollars from your paycheck to pay for eligible out-of-pocket expenses. You set the level you want to contribute, and your contributions to the account are spread out evenly over the year.

As we mentioned earlier, the maximum you can contribute for 2024 to the program is $3,200 and up to $3,300 in 2025.

The main benefit of the program, according to Mike Travers, a senior benefits consultant at TriNet, is that you can access the full amount of your annual contribution election- even if you haven’t made all the pre-tax deductions for the year.

“It’s one of my favorite benefits,” Travers said.  “Where else can you access funds before you have contributed them to an account?”

Typically, with an FSA, you must use the full contribution amount within the calendar year (ending December 31) or risk losing the balance. Some plans have a grace period, which allows you to delay the use of the funds for up to 2.5 months into the new plan year, while others permit a small carryover amount, which increased to $660 for 2025.

Can you use an FSA for LASIK?

Yes, you can use an FSA for LASIK and other laser vision correction procedures. The IRS places restrictions on what is covered by FSA funds.  For those looking into their vision correction options, it is good to know that LASIK, SMILE, PRK, and ICLs are considered eligible expenses for FSA funds, which is an important consideration when figuring out how to pay for a procedure.

What is an HSA?

An HSA is a tax-advantaged bank account that allows you to save pre-tax dollars through payroll deductions. You can then use those funds to pay for out-of-pocket healthcare costs. You must be enrolled in a high-deductible health care policy to be eligible for an HSA. The funds in your HSA can help pay for medical expenses not covered by health insurance.

For 2025, the amount you can contribute to an HSA is:

• $4,300 (individual)
• $8,550 (family)

“It’s slightly different than an FSA in that contributions must be deposited in the HSA before you can use the money to pay for eligible expenses.  It’s your own money, pre-tax, that’s in a bank account,” Travers explains.

There is no “use it or lose it” requirement with an HSA like there is with an FSA.  You can allow the funds to accumulate until you are ready to use them.

Can You Use HSA for LASIK?

You can use an HSA for LASIK and other laser vision correction procedures. Like the FSA, the IRS sets limits on what procedures are covered by an HSA. Laser vision correction procedures, including LASIK, SMILE, and PRK, are eligible expenses. This is great news because while many insurance plans offer benefits and discounts for LASIK and other laser vision corrections, these vision plans are unlikely to cover the entire expense.

How to Use Your FSA For Laser Vision Correction

If you are a candidate for LASIK or other laser vision correction procedures, your FSA or HSA dollars can help pay for it. However, the entire cost of the procedure, particularly using the most advanced technologies, may not be covered by the total allowable contribution ($3,200 in 2024; $3,300 in 2025) in an FSA fund for a given year. Make sure to research what options you have to pay for the cost of LASIK.

If your company’s plan provides a “grace period,” you can combine any remaining FSA funds from the previous year with the FSA funds from the current year. The grace period is 2.5 months.

How to Use Your HSA for Laser Vision Correction

Funds in HSAs are available without a time limit. You could fully fund your HSA each year and tap into the account when you have enough money to cover the procedure your surgeon recommends.

If your employer offers an FSA program, you can use it in conjunction with your HSA to fund your procedure.

Plan Wisely, Plan Ahead

With either FSA or HSA accounts, you can pay a significant amount of your LASIK procedure pre-tax.  The key is to be aware of the contribution limits, the limits of your health care policy, and if your employer offers you an HSA.

When you consider how you can use the FSA grace period or HSA rollover to your advantage, it’s wise to plan for your LASIK procedure and coordinate the scheduling with your doctor. Leveraging FSA and HSA benefits for laser vision correction can be a great way to save money and achieve your vision goals.

CONTENT AUTHENTICITY STATEMENT

100% of this article was written by a human and reviewed by the RSC Editorial Advisory Board.