Adoption involves agency fees, legal work, home studies and often travel, and many of those costs come due before a placement happens. Some employers add adoption expenses to an LSA, either as their main adoption benefit or alongside a formal adoption assistance program, so employees building their families this way get support comparable to what the medical plan offers for birth.
Adoption costs an LSA may help with
Depending on the plan, the category can cover expenses at several points in the process.
- Home study fees and required background checks
- Agency application and placement fees
- Attorney and court fees for finalizing an adoption
- Travel and lodging to meet or bring home a child
- Pre-adoption training courses required by the agency
- Document authentication and translation for international adoptions
- Post-placement visits and reports
For the wider list of categories employers tend to include, see our guide to LSA eligible expenses.
Designing adoption support in an LSA
Decide how it relates to a Section 137 plan
If you already run a qualified adoption assistance program, position the LSA for extras it doesn't cover. If you don't, work with benefits counsel on whether a formal program makes sense alongside the LSA.
Allow claims across plan years
Adoptions often take more than a year. Consider letting employees carry over balances or submit expenses from before a placement is final.
Treat adoption on par with birth
Compare what your plans spend on childbirth and what you offer for adoption. Closing the gap is a simple way to support every path to parenthood.
Adoption rules and overlaps to plan for
- Employers can offer a qualified adoption assistance program under Section 137 with tax advantages, while LSA funds are taxable, so some plans send adoption costs there first.
- Employees claiming the federal adoption tax credit generally can't count the same expenses twice, so they should keep LSA receipts separate.
- Adopting a spouse's child is treated differently by some plans and tax rules.
- Surrogacy and fertility care are usually separate categories or run through the health plan.
- Plans may require that the adoption be legal in the employee's state or country and handled through a licensed agency or attorney.
Who uses adoption support
Couples and single parents pursuing domestic infant adoption often face the largest upfront fees. Families adopting internationally deal with travel, translation and paperwork across two countries. Foster parents moving to adopt a child already in their home typically have lower costs but still pay for legal work and training. LGBTQ+ employees and those who can't or choose not to carry a pregnancy may rely on adoption as their main path to parenthood, which makes this benefit a real signal of fairness. For related ideas, see our article on benefits that support working parents and families.
Frequently asked questions
Can I use my LSA to cover adoption costs?
Some employers include adoption expenses in a family wellbeing category. Your plan decides which costs qualify and whether a separate adoption assistance program applies first.
What's the difference between an LSA and an adoption assistance program?
A qualified adoption assistance program under Section 137 can offer tax advantages up to an annual limit. LSA funds are generally taxable income, which is why some employers offer both.
Can I still claim the adoption tax credit if my LSA paid some costs?
Generally you can't claim the same expense twice. A tax professional can help you sort which costs to count where.
Are travel costs for an international adoption covered?
Many plans that include adoption allow travel and lodging tied to the process. Keep itineraries and receipts that connect the trip to the adoption.
LSA funds are generally treated as taxable income. Learn more about how LSA reimbursements are taxed.
This content is general information, not medical, legal, tax, or financial advice. Employer plan terms determine eligibility, and requirements may vary by location.

