Babysitting and child care

Babysitting and child care is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) or a limited-purpose flexible spending account (LPFSA). However, babysitting, child care and nursing services for a healthy baby do not qualify as medical care, but may be covered under a dependent care flexible spending account (DCFSA) if specific requirements are met, including that the guardian(s) are enabled to be gainfully employed during the time a qualifying child is cared for, a full-time student(s) or searching for gainful employment.