Supporting Employees Through Menopause with Health and Wellness Spending Accounts

By intentionally aligning Health Spending Accounts and Wellness Spending Accounts, Canadian organizations can deliver comprehensive, flexible, and inclusive menopause support grounded in clinical credibility and enhanced by holistic wellbeing solutions. 

Why This Matters 

• Menopause impacts productivity, attendance, and retention 

• Employees value discreet and flexible support 

• Uses existing benefits without added complexity 

• Strengthens wellbeing, DEI initiatives, and employer brand strategies 

Holistic & High-Impact Plan Design

Flexible Spending Account: myFlexplan

• Includes a Health Spending and Wellness Spending Account

• A combined HSA + WSA model that allows employees to allocate their allowance across employer‑selected benefit buckets.

• Pairs with any insured plan or replaces any cost‑plus/HSA setup

Health Spending Account (HSA): Clinical & Medical Supports 

HSA coverage supports evidence-based medical care across all stages of menopause. All the below are considered CRA-eligible non-taxable items and can be included in plan design:

Core Medical Support 

• Prescribed diagnostic testing such as hormone panels and bone density scans 

• Private Medical Consultations

• Prescription medications, including HRT and non-hormonal options 

• Physician-prescribed treatments, where applicable 

Mental Health & Cognitive Care 

• Psychologist and therapist services 

• Clinical counseling for anxiety, mood changes, and depression 

Sleep & Fatigue Management 

• Sleep studies and specialist referrals 

• CPAP devices & accessories

• Medically prescribed sleep aids 

Physical & Musculoskeletal Care 

• Physiotherapy for joint pain, frozen shoulder, and mobility 

• Chiropractic care 

• Massage therapy for pain, headaches, and sleep support 

Pelvic & Sexual Health 

• Pelvic floor physiotherapy 

• Prescription-based vaginal health treatments 

• Medications prescribed for pelvic or sexual health concerns 

Additional Eligible Categories 

• Medical-grade compression garments 

• Custom orthotics 

• Dermatology treatments when medically necessary 

• Other CRA-eligible menopause-related expenses 

Wellness Spending Account (WSA): Lifestyle & Holistic Support 

 A WSA complements medical care by addressing daily wellbeing and prevention. The Wellness list is customizable and may include some or all the following supports:

Movement & Body Support 

• Yoga, Pilates, and strength training programs 

• Personal training with midlife focus 

• Stretching and mobility programs 

Nutrition & Metabolic Health 

• Dietitian services 

• Menopause-specific nutrition programs 

• Weight management and anti-inflammatory nutrition coaching 

Sleep & Recovery 

• Sleep coaching programs 

• Wearable sleep tracking devices 

• Cooling bedding and weighted blankets 

Hot Flash & Comfort Support 

• Cooling devices such as wearables and fans 

• Breathable clothing or fabrics 

• Workplace comfort accommodations 

Mental Wellness & Stress Support 

• Meditation and mindfulness apps 

• Life coaching services (non-clinical) 

• Journaling tools and programs 

Education & Hormone Literacy 

• Menopause education courses 

• Workshops and seminars 

• Evidence-based digital education platforms 

Community & Social Support 

• Membership-based support groups 

• Midlife wellness retreats or workshops 

• Peer networking and support experiences 

Personal Care & Confidence 

• Hair thinning or loss support 

• Non-medical skin care treatments 

• Personal body care products 

  
  

Alternative & Holistic Therapies 

• Acupuncture when not HSA-eligible 

• Herbal supplements 

• Complementary or traditional therapies