A 2019 ruling by the Internal Revenue Service* means that you should be able to use funds set aside in either a Flexible Spending Account (FSA) or Health Savings Account (HSA) to cover all or a portion of the medical care costs of the following 23andMe services:
- Health + Ancestry Service
- Health Service (only available on Amazon or FSAStore.com / HSAStore.com)
- Upgrade to Health + Ancestry Service (for customers who originally purchased the 23andMe Ancestry + Traits Service)
- Health + Ancestry Service lab fee (for customers who purchased their saliva collection kit from an authorized retailer, such as CVS, Walgreens, Walmart, but who purchased the Health + Ancestry Service from 23andMe)
- Health + Ancestry Service Chip Upgrade (for customers who purchased a new kit to be genotyped on the latest platform)
Check with your FSA/HSA benefits coordinator or your tax professional for confirmation on the specific requirements for individual eligibility and reimbursement, including usage, procedures, and qualifications.
The Health + Ancestry Service can be purchased through our online 23andMe store.
Common Questions
How much of my Health + Ancestry Service purchase is FSA/HSA eligible?
In general, the Health component of the Health + Ancestry Service should be eligible as medical care covered by your FSA/HSA benefit during the year the purchase was made. The Health component of the Health + Ancestry Service consists of testing services and reports subject to FDA jurisdiction, including the Health Predisposition**, Carrier Status** and Wellness Reports. The Health component of the Health + Ancestry Service, valued at ~$117 + shipping and tax (where applicable) should be eligible as medical care covered by your FSA/HSA benefit (based on regular price of $199).
For purchases of the Health + Ancestry Service in a prior year:
FSA benefits can only be used to reimburse medical care expenses, including the Health + Ancestry Service, during the current plan year of your FSA plan. Purchases made in prior years will be ineligible, though your plan may have a grace period extending from the prior year into the current year (consult your administrator if you have questions).
The Health component of a prior purchase of the Health + Ancestry Service may be eligible as medical care covered by your HSA benefit, if the purchase was made while you held your current HSA account. The Health component of the Health + Ancestry Service consists of testing services and reports subject to FDA jurisdiction, including the Health Predisposition**, Carrier Status** and Wellness Reports. The Health Predisposition**, Carrier Status** and Wellness Reports should be eligible as medical care covered by your HSA benefit. 23andMe does not charge separately for Traits Reports, but provides them as part of the Health component.
If you purchased the Health component of the Health + Ancestry Service for the purpose of receiving the Health Predisposition**, Carrier Status** and Wellness Reports, (and for purchases prior to October 2019, if you did not view the Traits Reports as having any independent value), then ~$117 + shipping and tax (where applicable) should be eligible as medical care (based on regular price of $199).
How much of my Health Service purchase is FSA/HSA eligible?
The entire cost of the Health Service is eligible as medical care covered by your FSA/HSA benefit. The Health Service consists of testing services and reports subject to FDA jurisdiction, including the Health Predisposition**, Carrier Status**, and Wellness Reports. FSA benefits can only be used to reimburse medical care expenses, including the Health Service, during the current plan year of your FSA plan. Purchases made in prior years will be ineligible, though your plan may have a grace period extending from the prior year into the current year (consult your administrator if you have questions).
Is my 23andMe+ annual membership fee FSA/HSA eligible?
The annual fee for the 23andMe+ Annual Membership is not covered by your FSA/HSA benefit. The annual fee may be an eligible expense in the future, though 23andMe cannot speculate as to if or when that change may occur.
What if I purchased the Health + Ancestry Service at a discount? How much of my purchase is eligible?
The simplest way to determine the amount that should be eligible as medical care is to use the 23andMe FSA/HSA calculator.
For a discounted Health + Ancestry Service kit, our calculator will take the same percentage of the full Health + Ancestry Service kit price (retail $199) from what you otherwise would have been able to claim as eligible medical care on the full price service.
For example, if you paid $149 for the Health + Ancestry Service, then up to $88 + shipping and tax (where applicable) should be eligible medical care. This reflects application of the percentage discount off the Health + Ancestry Service to the amount that is eligible medical care where a customer pays the retail price of $199.
For the VIP Health + Ancestry Service, please contact Customer Care to determine the amount that should be eligible as medical care. Note, the VIP Health + Ancestry Service is no longer available for purchase as of January 19, 2021.
Can I use my FSA/HSA funds to buy the Health + Ancestry Service and/or the Health Service for someone else?
Generally, FSA and HSA funds can be used by the account owner for eligible medical care expenses for him/herself and his/her eligible dependents. If you are the account owner, eligible medical care expenses typically include those incurred by the following persons:
- You and your spouse
- Dependents you claim on your tax return
I bought a saliva collection kit in a store and then paid the lab processing fee separately online at 23andme.com to receive the Health + Ancestry Service. What is FSA/HSA eligible?
If you purchased the saliva collection kit - or have received such a kit as a gift - separate from selecting your service and paying a lab processing fee online, 23andMe can only provide you with a receipt for the lab processing fee as potentially eligible as medical care.
The simplest way to determine the amount that should be eligible as medical care is to use our 23andMe FSA/HSA calculator.
In general, the Health component of the Health + Ancestry Service lab processing fee should be eligible as medical care covered by your FSA/HSA benefit.
If I upgrade my 23andMe account from Ancestry + Traits Service Reports to receive the Health Reports, what amount is FSA/HSA eligible?
Where you already have the 23andMe Ancestry + Traits Service and upgrade to receive our health reports, all or a portion of your upgrade fee should be considered eligible medical care.
The simplest way to determine the amount that should be eligible for medical care is to use our 23andMe FSA/HSA calculator. In general, the Health component of the Health + Ancestry Service should be eligible as medical care covered by your FSA/HSA benefit.
How do I get a receipt to submit to my FSA/HSA benefits administrator?
We’ll email you a receipt with your purchase confirmation. Include a copy of your calculation from the 23andMe FSA/HSA Calculator that details the amount that should be eligible medical care based on your valuation of the health reports and medical information included in the 23andMe service you purchased.
*Ruling available here.
**The 23andMe PGS test includes health predisposition and carrier status reports. 23andMe health predisposition reports include both reports that meet FDA requirements for genetic health risks and reports which are based on 23andMe research and have not been reviewed by the FDA. The test uses qualitative genotyping to detect select clinically relevant variants in the genomic DNA of adults from saliva for the purpose of reporting and interpreting genetic health risks. It is not intended to diagnose any disease. Your ethnicity may affect the relevance of each report and how your genetic health risk results are interpreted. Each genetic health risk report describes if a person has variants associated with a higher risk of developing a disease, but does not describe a person’s overall risk of developing the disease. The test is not intended to tell you anything about your current state of health, or to be used to make medical decisions, including whether or not you should take a medication, how much of a medication you should take, or determine any treatment. Our carrier status reports can be used to determine carrier status, but cannot determine if you have two copies of any genetic variant. These carrier reports are not intended to tell you anything about your risk for developing a disease in the future, the health of your fetus, or your newborn child's risk of developing a particular disease later in life. For certain conditions, we provide a single report that includes information on both carrier status and genetic health risk. The Late-onset Alzheimer’s Disease genetic health risk report is indicated for reporting of the ε4 variant in the APOE gene and describes if a person has a variant associated with an increased risk of developing late-onset Alzheimer’s disease. The ε4 variant included in this report is found and has been studied in many ethnicities. Detailed risk estimates have been studied the most in people of European descent. The Parkinson’s Disease genetic health risk report is indicated for reporting of the G2019S variant in the LRRK2 gene, and the N370S variant in the GBA gene and describes if a person has variants associated with an increased risk of developing Parkinson’s disease. The variants included in this report are most common and best studied in people of European, Ashkenazi Jewish, and North African Berber descent. For important information and limitations regarding each genetic health risk and carrier status report, visit 23andme.com/test-info/.