What is a Wellness Spending Account? (How WSAs work in Canada)

A wellness spending account (WSA) is an account provided by your employer that you can use for eligible fitness expenses. Unlike government-defined benefits, a WSA is an optional perk your employer can provide, and what’s covered is at their discretion.
What is a wellness spending account (WSA)?
Think of a wellness spending account like a savings account you can use for lifestyle, wellness and fitness-related expenses, with your employer’s approval. You pay for the expense upfront and submit the receipt to your employer or their insurer for reimbursement.
Reimbursements from a WSA are considered taxable by the Canada Revenue Agency (CRA). Your employer adds every dollar you get back to your overall income on your T4 or other tax slips.
Wellness spending account vs. health spending account
A wellness spending account reimburses you for fitness and lifestyle expenses, while a health spending account covers medically-necessary needs.
What can you use a wellness spending account for?
You can use a wellness spending account for lifestyle, fitness and sports activity expenses that aren’t already covered by your other insurance plans or accounts.
This list isn’t exhaustive. Your employer decides what you can claim, and the insurance provider approves or denies your reimbursement. Read your policy’s fine print to know what’s included in your specific plan, or contact your representative to learn more.
How does a wellness spending account work?
A wellness spending account reimburses you for qualified wellness expenses that you pay out of pocket.
- Get funded: Each year, your employer tops up your wellness spending account with a set dollar amount for you to use on eligible personal wellness expenses.
- Pay the expense upfront: Be sure to ask for a receipt or documentation of the expense.
- Submit the receipt: In most cases, you’ll send the receipt directly to the insurer. However, some employers review and submit the receipts on your behalf.
- Receive reimbursement: The payment will either be added to your next paycheque or issued as a separate deposit, as long as your wellness expense is covered and approved.
Some employers offer a specialized debit card to pay for eligible wellness expenses directly at checkout. You don’t need to submit any receipts, but your purchases are still subject to review and approval.
Do unused WSA funds carry over?
Unused WSA funds typically don’t carry over, but it depends on the employer. Most employers have a set dollar amount they allocate every year, and they refill the account to that amount regardless of how much you use (or don’t use).
Some employers do allow partial or full carryover, and some offer a grace period where you can apply the new year’s expenses to the previous year’s amount within a specific timeframe. However, most WSAs operate on a “use-it-or-lose-it” basis and reset every year.
Is a wellness spending account taxable?
Yes, a wellness spending account is treated as a taxable benefit. Because it’s not medically regulated, a wellness account is sort of like a cash bonus that employees can use for specific purposes.
Employers must report any reimbursed funds as income on your T4, T4A/RL-1 or other tax slips. These funds are subject to CPP deductions, but receipt-based WSA reimbursements are typically exempt from Employment Insurance (EI) deductions.
Wellness spending account vs. lifestyle spending account (LSA)
A wellness spending account and a lifestyle spending account (LSA) are both flexible employer-funded benefits. Both are treated as taxable income in Canada, and both are supplied by your employer.
Where they differ is scope. While a WSA primarily focuses on fitness-related expenses, a lifestyle spending account may also cover personal development and family expenses, such as professional seminars, child adoption fees or experience-based events, like museum tours.
Why do employers offer wellness spending accounts?
Employer-sponsored health insurance and wellness spending accounts are often offered by businesses to support the well-being of their employees and to remain competitive in the job market.
According to the Benefits Canada 2022 Healthcare Survey, employers offer flexible benefits like a wellness spending account to:
- Attract and retain employees (21%)
- Provide coverage so employees are not under undue financial burden (17%)
- Keep employees healthy and productive (16%)
- Provide peace of mind (15%)
- Provide coverage for routine medical needs (13%)
The survey also noted that employees prefer to choose their benefits based on their needs, and a flexible benefit like a wellness spending account helps to address that demand.
FAQs about wellness spending accounts

Helene Fleischer is Content Marketing Manager at PolicyMe, with 9 years in content marketing and 4 in Canada’s insurance industry. She works with skilled writers and licensed insurance advisors to create useful resources that help Canadians navigate insurance decisions with confidence and clarity.
Helene Fleischer is Content Marketing Manager at PolicyMe, with 9 years in content marketing and 4 in Canada’s insurance industry. She works with skilled writers and licensed insurance advisors to create useful resources that help Canadians navigate insurance decisions with confidence and clarity.
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