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Articles / 3 minute read

HSA/FSA For Lab Testing

A Simple Guide For Your Practice

Year-end Reminder: Use it or lose it!

Most FSAs expire at year end, so act now.

Simple Steps to Help Patients Use HSA/FSA
  1. Billing Preference: During activation, select Cash Pay. Installments are available for eligible orders.
  2. Payment Method: Patients can use an HSA/FSA card for the full amount or their installment payments if offered.
  3. Documentation: Ensure at least one ICD-10 diagnosis is on the requisition. After results, patients can download the itemized receipt from the portal for their records or to submit a claim.

Leveraging Patients' Pre-tax Dollars for Better Health

Genova accepts HSA/FSA payment and offers installment options for cash pay. Patients also receive an insurance-ready, itemized receipt after testing that they can use for HSA/FSA records or to file a claim with their plan if they wish.

When patients choose Cash Pay and use pre-tax FSA or HSA dollars, they often get the lowest upfront price and are leveraging their pre-tax purchasing power. Insurance coverage is not guaranteed until a claim is processed and patients may owe additional balances later, whereas cash pay provides a clear, immediate price.

Why this saves patients money... and how much?

Pre-tax Dollars

Paying with pre-tax FSA/HSA funds for qualified medical expenses reduces the cost to the patient.

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Using an FSA/HSA account can leverage about $100 on a $400 test!

Typical payroll FSA/HSA. Actual savings vary by tax bracket, state taxes, and payroll status.

Predictable Pricing & Plan Flexibility

Cash Pay sets a defined out-of-pocket amount up front. However, patients can still submit an insurance claim on their own using the insurance-ready itemized receipt they receive after results are released.

What counts as a qualified medical expense?

The IRS defines qualified medical expenses as costs for diagnosis, treatment, mitigation, or prevention of disease. Laboratory fees and testing fall within eligible medical expenses, therefore, many plans allow HSA/FSA payment for testing. Patients should confirm their plan’s documentation rules.

FAQ for clinicians

Can patients still try insurance billing?

Yes. Insurance may cover some services, but coverage is not always guaranteed. Cash Pay gives the clearest price up front, and patients can use the insurance-ready receipt to submit their own claim if they choose.

Is Genova compatible with HSA/FSA?

Yes. Patients can use HSA/FSA cards for eligible purchases and then keep the itemized receipt for records or plan submission.

Can patients pay over time with FSA/HSA?

Yes, HSA/FSA can be used for Genova's patient installment payment plan.

What should we tell patients about FSA timing?

Use your HSA/FSA for medical testing as needed and don't lose your contributions due to year-end spending deadlines!


Test, don't guess.

Genova's actionable reporting can help you uncover the root cause of patients’ issues, faster and with more precision. Stop the guesswork and track what's really going on from a cellular level.


This article is for educational purposes only and is not medical advice or a substitute for professional diagnosis or treatment.