At myHSA , we are committed to helping you create an incredibly inclusive and supportive workplace for all of employees. One crucial aspect of this is ensuring that benefits cover DEI initiatives, like gender-affirming services. Here’s how you can make benefits inclusive and supportive for gender affirmation.

Medical Services for Gender Affirmation with an HSA

Ensuring that medical services related to gender affirmation are covered under a Health Spending Account (HSA) is a significant step in supporting your employees. Here’s what to include:

Surgeries : Top Surgery :

Mastectomy or breast augmentation.

Bottom Surgery : — Phalloplasty, metoidioplasty, vaginoplasty, and other genital reconstruction surgeries.

Facial Feminization Surgery : — Procedures to alter facial features to be more feminine.

Facial Masculinization Surgery : — Procedures to alter facial features to be more masculine.

Voice Surgery : — Procedures to modify the pitch and resonance of the voice.

Hormone Therapy : Estrogen Therapy :

For feminization.

Testosterone Therapy :

For masculinization.

Hair Removal : Laser Hair Removal :

Permanent hair removal treatment.

Electrolysis :

Permanent hair removal treatment.

Other Medical Services : Counselling and Therapy :

Psychological support for gender dysphoria.

Voice Therapy : — Professional guidance to alter voice pitch and resonance.

Requirement : — Employees can ensure that these items are reimbursed by obtaining a letter from a healthcare professional confirming a diagnosis of Gender Dysphoria and the medical necessity for these services.

Non-Medical Gender Affirmation Services a WSA

Including non-medical gender affirmation services under a Wellness Spending Account (WSA) can further support employees. Consider adding categories like "Cosmetic Procedures (Taxable)" or "Non-Medical Gender Affirmation Expenses (Taxable)" to the list of eligible WSA expenses. Some services that can be included are:

Hair Appointments : — Haircuts, styling, and coloring to achieve desired gender expression.

Eyebrow Appointments :

Shaping and tinting to enhance facial appearance.

Vocal Speech Lessons or Therapy :

Sessions to help modify voice pitch and speaking style.

Nail Appointments : — Manicures and pedicures to enhance gender expression.

Makeup Sessions :

Professional makeup application and lessons.

Clothing Allowances :

Funds to purchase gender-affirming clothing.

Body Contouring : Non-surgical procedures to shape the body.​

How myFlexplan Can Support Gender Affirmation With myFlexplan , employees have the flexibility to allocate their funds between their Health Spending Account (HSA) and Wellness Spending Account (WSA) according to their individual needs. This flexibility ensures that employees seeking gender-affirming services can make the most of their benefits.

Medical Services : — Employees can allocate funds to their HSA for necessary medical procedures such as surgeries, hormone therapy, and hair removal, supported by a doctor’s letter.

Non-Medical Services : — For non-medical gender affirmation expenses like hair appointments, vocal lessons, and more, employees can direct funds to their WSA.

By offering myFlexplan , employees are empowered to tailor their benefits to support their personal health and wellness journey, ensuring comprehensive and inclusive coverage for gender-affirming services.

Implementing the Changes — If you need help implementing these changes or have any questions, our support team is here to assist you. Contact us via live chat or email at

support@getmyhsa.com . We’re here to help make the process as seamless as possible.​