FSA & HSA Accepted
Use Your FSA or HSA for Medical Weight Loss
Your flexible spending and health savings accounts can cover your Rivas visits, GLP-1 medications and treatment packages. Pay with pre-tax dollars and save.
Yes, Medical Weight Loss Is FSA/HSA Eligible
Physician-prescribed weight loss treatments, including GLP-1 medications and provider visits, qualify as eligible medical expenses for FSA and HSA accounts. At Rivas, your provider handles the clinical documentation at your initial visit. You just pay with your FSA or HSA card at checkout.
How It Works
Using Your FSA or HSA at Rivas
Three steps. No paperwork headaches.
1
Book Your Visit
Schedule your initial visit at any of our 15 locations or via telehealth. No preauthorization needed to book.
2
Pay with Your FSA/HSA Card
We accept HSA and FSA debit cards at checkout, just like a credit card. You can also pay out of pocket and submit your receipt for reimbursement.
3
Documentation Is Built In
Your Rivas provider documents your diagnosis and medical necessity as part of your visit. If your plan requires a Letter of Medical Necessity, we provide it.
Eligible Expenses
What Your FSA or HSA Can Cover
The following Rivas services and medications are eligible medical expenses when prescribed by your provider.
Initial Medical Evaluation
Your $195 initial visit with a Rivas provider
Weekly Provider Visits
In-office visits including vitals and weigh-in
Semaglutide Medication
Compounded semaglutide and brand-name Wegovy
Tirzepatide Medication
Compounded tirzepatide and brand-name Zepbound
Treatment Packages
1-month and 3-month GLP-1 packages
Telehealth Visits
Virtual consultations in MD, VA, and FL
Phentermine & Appetite Suppressants
Prescribed weight loss medications
Medically Indicated Face · Mind · Body Treatments
When prescribed by your provider for a medical condition
The Rivas Advantage
Physician-Led Care Makes FSA/HSA Simple
Because Rivas is a physician-led practice, your visits and medications qualify as eligible medical expenses. Your provider documents everything from day one, so you don’t have to chase paperwork.
Example Savings
How Pre-Tax Dollars Work for You
FSA and HSA funds are pre-tax, which means you save your marginal tax rate on every dollar spent. For most Rivas patients in Maryland and Virginia, that’s approximately 30% in savings.
Semaglutide · 3-Month Package
Package cost
$1,242
Estimated tax savings (30%)
−$373
Effective cost
~$869
Actual savings depend on your tax bracket. This is an estimate, not a guarantee.
Common Questions
FSA & HSA FAQs
Yes. Physician-prescribed GLP-1 medications including semaglutide (compounded and Wegovy) and tirzepatide (compounded and Zepbound) are eligible HSA and FSA expenses. Your Rivas provider documents the medical necessity at your visit, so you’re covered.
Yes. Rivas accepts HSA and FSA debit cards at all 15 clinic locations and for telehealth visits. You can also pay out of pocket with a standard credit or debit card and submit your itemized receipt to your HSA or FSA administrator for reimbursement.
Medical weight loss consultations, prescription medications (semaglutide, tirzepatide, phentermine), and B12 injections are typically eligible. We provide itemized invoices for your records. Aesthetic treatments like Emsculpt Neo are generally not HSA/FSA eligible. Always confirm with your plan administrator.
An HSA (Health Savings Account) is available to individuals with a high-deductible health plan. Funds roll over year to year and the account stays with you even if you change employers. An FSA (Flexible Spending Account) is employer-sponsored and typically must be used within the plan year or you lose the funds. Both can be used for eligible medical weight loss expenses at Rivas.
Some Face · Mind · Body treatments may qualify when they are medically indicated and prescribed by your provider. For example, pelvic floor therapy with Emsella for urinary incontinence may be eligible. Purely cosmetic treatments are generally not eligible. Consult your plan administrator and your Rivas provider for specifics.
Yes. Telehealth medical consultations are eligible medical expenses. Your $195 initial telehealth visit and ongoing monthly visits can be paid with HSA or FSA funds when prescribed for a medical condition.
Yes. If you have FSA funds expiring at the end of your plan year, don’t let them go to waste. Your initial visit, weekly visits, and medications are all eligible expenses. Book your visit before your deadline to start putting those dollars toward your health.
Ozempic (semaglutide) is FDA-approved for type 2 diabetes, not weight loss. If you’re looking for GLP-1 medication for weight loss, Rivas providers prescribe Wegovy (semaglutide) and Zepbound (tirzepatide), both of which are FSA and HSA eligible when prescribed by your provider. All three medications contain the same active ingredients used in diabetes management, but Wegovy and Zepbound carry the FDA-approved weight loss indication.
Yes. Tirzepatide, including compounded tirzepatide and brand-name Zepbound, is FSA and HSA eligible when prescribed by your provider. Rivas offers both compounded tirzepatide (shipped to your door via telehealth or administered in-office) and Zepbound prescriptions that you fill at your pharmacy. Your provider determines which option is right for you.
Rivas does not bill insurance directly for weight loss visits. However, if you choose a name-brand medication like Wegovy or Zepbound, your provider can write a prescription that you fill through your pharmacy, where insurance may apply. HSA and FSA cards are accepted for all Rivas services and are often the most straightforward way to use your health benefits for weight loss.
FSA and HSA eligibility varies by plan. Rivas Medical Weight Loss does not guarantee reimbursement or eligibility for any specific FSA or HSA plan. Please consult your plan administrator to confirm coverage before your visit. Tax savings estimates are for illustrative purposes only and are not tax advice. Consult a qualified tax professional for guidance specific to your situation. Pricing is subject to change.