Are Hokas covered by HSA?

Asked by: Dr. Hubert Murphy  |  Last update: September 10, 2025
Score: 4.2/5 (46 votes)

Yes, orthopedic and therapeutic footwear products qualify as a medical expense through an HSA or FSA and can be reimbursed through your provider accounts. To be reimbursed, you will need to obtain a Letter of Medical Necessity from your qualified health care provider.

Can I use HSA for Hoka shoes?

Orthopedic shoes are not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA). Orthotics are eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA).

What shoes are HSA eligible for?

Orthopedic shoes with a Letter of Medical Necessity (LMN) are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA).

Can I use my HSA for shoe inserts?

In short, yes, you can be reimbursed from your HSA for orthopedic footwear products. However, as mentioned above, a prescription for custom orthotics, insoles, or orthopedic footwear must be deemed a viable treatment option by a medical doctor to be eligible.

Are fitness trackers covered by HSA?

A fitness tracker device, such as a Fitbit, is only eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

Best Hoka Walking Shoes: Comfort, Stability, Waterproof and Wide Fit by a Foot Specialist

26 related questions found

Can I use my HSA to buy an Apple Watch?

Even though Fitbits and Apple Watches measure important health data, they currently do not qualify for HSA reimbursement, as they are considered for general health use and not intended to treat or manage a specific medical condition.

Can I put my gym membership on my HSA?

Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.

Can you buy deodorant with HSA card?

Deodorant reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

What is the shoebox rule for HSA?

Instead of using your HSA to pay for a medical expense right away, you pay for it out-of-pocket and keep the receipt (that's where the shoebox comes in). Leave your HSA undisturbed and archive your receipts somewhere safe, where you know you'll still find them years down the road.

Can I use my HSA card on Amazon for medical supplies?

Yes. All eligible items can be purchased with an FSA or an HSA card.

Can you buy skincare with an HSA?

Over-the-counter acne and skincare products are now HSA eligible with out the need for a prescription.

Can you use HSA to buy treadmill?

For a treadmill to be eligible for reimbursement, it must be used to treat or prevent a specific disease, including hypertension or obesity.

Does HSA cover diapers?

Although diapers are not currently eligible for HSA reimbursement, it is important to note that HSAs are designed to help individuals save for qualified medical expenses. These expenses typically include doctor visits, prescription medications, and medical procedures.

Do podiatrists recommend Hoka?

Podiatrists recommend a number of Hoka shoes. Several iterations of the Arahi, Bondi, Clifton, and Gaviota, and also the Skyflow have been awarded the American Podiatric Medical Association Seal of Acceptance for promoting healthy feet.

What can I not buy with HSA?

Generally, you can't use your HSA to pay for expenses that don't meaningfully promote the proper function of the body or prevent or treat illness or disease. Nutritional supplements and weight loss programs not prescribed by a physician are examples of expenses that would not be covered by your HSA.

Which Hoka shoe is best for walking and plantar fasciitis?

The Rundown
  • We found the Clifton 9 to be the best Hoka shoes for plantar fasciitis overall, with lightweight cushioning and solid arch support.
  • Runners with plantar fasciitis should check out the Mach 6, a bouncy trainer that's a favorite among multiple testers.

What triggers an HSA audit?

Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.

Can I use my HSA to buy shoes?

To be able to use your HSA or FSA for shoes, you'll need a Letter of Medical Necessity from a healthcare professional that clearly outlines how they will address a specific medical condition, such as orthopedic shoes that allow you to perform therapeutic exercises.

How does IRS know what you spend HSA on?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

Is the Apple Watch HSA eligible?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

Can you use HSA for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Is toothbrush HSA eligible?

Unfortunately, most products for oral health care are not currently eligible medical expenses for FSA and HSA spending.

Can HSA pay for massage?

Your HSA can pay for massage therapy, though you'll likely need a letter of medical necessity (LMN) from your doctor. An LMN states what condition the treatment is for, how many sessions you need, and any other relevant details. An HSA may also be used on alternative or holistic treatments, such as: Massage therapy.

Can I use HSA for Invisalign?

Many patients are surprised to learn that you can use your Flexible Spending Account (FSA) or Health Spending Account (HSA) to pay for orthodontic treatment, including braces and Invisalign, for children and adults, which makes this the “most wonderful time of the year” to get started on your dream smile.

Can I use HSA for vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.