Most Americans support expanding FSA/HSA reimbursements to include dietary supplements for general health

Washington, DC, March 26, 2023 — This CRN/CHPA survey, conducted by Ipsos, finds that most Americans, including FSA and HSA account holders, support increasing the number of health-related expenses eligible for reimbursement through FSA and HSA accounts. More specifically, roughly eight in ten Americans with a household FSA/HSA account say they support allowing dietary supplements for general health, not prescribed by a doctor, to be reimbursed by FSA and HSA accounts.

Despite the overwhelming support for expanding reimbursement options, however, this study finds that Americans with a household FSA or HSA account are unlikely to change their annual planning for their account spending if legislative change allows dietary supplements for general health to be reimbursed. Specifically, most Americans with a household FSA or HSA say they are unlikely to increase the amount they contribute if dietary supplements for general health become qualified for reimbursement.

About the Study

This CRN/CHPA/Ipsos poll was conducted March 24 – 26, 2023, by Ipsos using the probability-based KnowledgePanel®. This poll is based on a nationally representative probability sample of 1,892 general population adults age 18 or older. The sample includes an oversample of 1,119 people who have a household HSA or FSA account.

The margin of sampling error for this study is plus or minus 2.9 percentage points at the 95% confidence level, for results based on the entire sample of adults. The margin of sampling error takes into account the design effect, which was 1.70. For those with household HSA or FSA account, the margin of sampling error is plus or minus 3.0 percentage points at the 95% confidence level. This margin of sampling error takes into account the design effect, which was 1.08 for those with a household HSA or FSA account. The margin of sampling error is higher and varies for results based on other sub-samples. In our reporting of the findings, percentage points are rounded off to the nearest whole number. As a result, percentages in a given table column may total slightly higher or lower than 100%. In questions that permit multiple responses, columns may total substantially more than 100%, depending on the number of different responses offered by each respondent.

The survey was conducted using KnowledgePanel, the largest and most well-established online probability-based panel that is representative of the adult US population. Our recruitment process employs a scientifically developed addressed-based sampling methodology using the latest Delivery Sequence File of the USPS – a database with full coverage of all delivery points in the US. Households invited to join the panel are randomly selected from all available households in the U.S. Persons in the sampled households are invited to join and participate in the panel. Those selected who do not already have internet access are provided a tablet and internet connection at no cost to the panel member. Those who join the panel and who are selected to participate in a survey are sent a unique password-protected log-in used to complete surveys online. As a result of our recruitment and sampling methodologies, samples from KnowledgePanel cover all households regardless of their phone or internet status and findings can be reported with a margin of sampling error and projected to the general population.

The data for the total sample were weighted to adjust for gender by age, race/ethnicity, education, Census region, metropolitan status, and household income. The demographic benchmarks came from the 2022 March Supplement of the Current Population Survey (CPS).

• Gender (Male, Female) by Age (18–29, 30–44, 45-59 and 60+)
• Race/Hispanic Ethnicity (White Non-Hispanic, Black Non-Hispanic, Other, Non-Hispanic, Hispanic, 2+ Races, Non-Hispanic)
• Education (Less than High School, High School, Some College, Bachelor or higher)
• Census Region (Northeast, Midwest, South, West)
• Metropolitan status (Metro, non-Metro)
• Household Income (Under $25,000, $25,000-$49,999, $50,000-$74,999, $75,000-$99,999, $100,000-$149,999, $150,000+)

About Ipsos

Ipsos is one of the largest market research and polling companies globally, operating in 90 markets and employing over 18,000 people.

Our passionately curious research professionals, analysts and scientists have built unique multi-specialist capabilities that provide true understanding and powerful insights into the actions, opinions and motivations of citizens, consumers, patients, customers or employees. Our 75 solutions are based on primary data from our surveys, social media monitoring, and qualitative or observational techniques.

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