Flexible self-pay options

Using HSA or FSA funds for nutrition counseling

HSA and FSA cards are accepted only for eligible independent self-pay nutrition services. They are not accepted for appointments billed through insurance, Fay, or Berry Street. Your plan administrator makes the final eligibility decision, and documentation may be required.

The key eligibility rule

When may nutrition counseling qualify?

IRS guidance states that nutritional counseling may be paid or reimbursed with HSA or FSA funds when it treats a specific disease diagnosed by a physician. Examples include obesity, diabetes, hypertension, and heart disease. Counseling for general health alone ordinarily does not qualify.

Read the IRS nutrition guidance

Services that may qualify

  • Medical nutrition therapy for a physician-diagnosed condition
  • Nutrition counseling related to obesity or diabetes
  • Weight-management treatment for hypertension or heart disease
  • Eligible copays, deductibles, or self-pay nutrition visits not reimbursed elsewhere

Usually not eligible

  • General wellness or healthy-eating coaching without a diagnosed condition
  • Ordinary groceries, meal-prep supplies, or kitchen tools
  • Retail products or general educational resources
  • Most supplements unless recommended to treat a diagnosed condition

Simple payment process

How to use your HSA/FSA benefits

01

Confirm eligibility

Ask your plan administrator whether nutrition counseling for your diagnosed condition is eligible.

02

Book your visit

Request an independent self-pay appointment directly with Sunshine Supportive Solutions.

03

Pay securely

Use your HSA/FSA card like a regular payment card, or pay another way and request reimbursement.

04

Keep your records

Save your itemized receipt and any supporting medical-necessity documentation.

If your plan asks for documentation

What you may need

  • An itemized receipt showing the service, date, provider, and amount paid
  • Anthony’s professional credentials and NPI, when requested
  • A physician diagnosis or Letter of Medical Necessity
  • Confirmation that the expense was not reimbursed by insurance or another source

If your HSA/FSA card is declined, you may pay with another method and submit your itemized receipt to the plan administrator. Approval is determined by the card issuer or plan—not by Sunshine Supportive Solutions.

This page provides general educational information and is not tax or legal advice. Plan rules vary. Confirm your individual eligibility and documentation requirements with your plan administrator or tax professional.