What dental expenses are not HSA eligible?

Asked by: Mr. Kip Jacobson  |  Last update: October 21, 2025
Score: 4.8/5 (50 votes)

For instance, cosmetic dental procedures such as teeth whitening or veneers are generally not covered by HSAs or medical FSAs.

Do dental expenses qualify for HSA?

You can use your HSA to fund big bills, like braces. It can also help cover routine dental needs, like cleanings and fluoride treatments. Your health insurance might not cover a new pair of eyeglasses or your contact lens solution, but those expenses are qualified.

Can you use HSA for a root canal?

Flexible spending accounts (FSA) and health savings accounts (HSAs) provide tax advantages that can help you pay for dental costs your insurance may not cover. Eligible dental expenses include root canals, fillings, and dentures.

Can HSA be used for Invisalign?

Straighten Your Smile and Save: Yes, You Can Use Your FSA or HSA for Braces or Invisalign!

Is deep cleaning of teeth a qualified medical expense?

Medical expenses include dental expenses, and in this publication the term “medical expenses” is often used to refer to medical and dental expenses. You can deduct on Schedule A (Form 1040) only the part of your medical and dental expenses that is more than 7.5% of your adjusted gross income (AGI).

Understanding Dental Insurance & HSA Funds

25 related questions found

Is deep cleaning for teeth covered by HSA?

Can I use my HSA or Medical FSA for Teeth Cleaning? Teeth cleaning is considered a preventative service, which is covered by HSAs and medical FSAs. Using your HSA or FSA to pay for teeth cleaning can be a smart way to maximize your healthcare dollars while taking care of your oral health.

Is a Waterpik a qualified medical expense?

Eligible Medical Expenses Include Dental Issues

For example, if a dentist diagnoses gingivitis and recommends a WATERPIK water flosser or WATERPIK SONIC-FUSION, under IRS guidelines it is an eligible expense.

Is a toothbrush HSA eligible?

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

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.

Can I use HSA for LASIK?

Raising contribution limits each year for HSAs and FSAs helps more people afford medical costs for procedures. So, can you use HSA for LASIK? Absolutely!

Can I use HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)

Are tampons HSA eligible?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Is deodorant HSA eligible?

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).

Can I use HSA for Waterpik?

If a dentist has diagnosed a medical condition and recommended a Waterpik™ Water Flosser or a Waterpik™ Sonic-Fusion™ as treatment or mitigation for the medical condition, under IRS guidelines it should qualify for reimbursement through an FSA/HRA and for tax-preferred treatment for an HSA.

Can you 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.

Can I use my HSA 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.

Is an Apple Watch HSA eligible?

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.

Is deep cleaning for teeth HSA eligible?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Can I use HSA for chiropractor?

HSAs can be used for large and small qualified medical expenses. You can use your HSA for ongoing medical services and treatments, like chiropractic care, acupuncture, or physical exams. Medical copays, deductibles, and coinsurance can also be covered under an HSA.

Can I use HSA for mouthwash?

Currently, FSAs and HSAs cover dental expenses, such as x-rays, tooth extractions, fillings, dentures, caps, crowns, implants and fluoride treatments. However, everyday preventable over-the-counter products have been excluded from these tax-advantaged accounts.

Is ibuprofen HSA eligible?

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

Is sunscreen covered by HSA?

Sunscreen for adults and for kids is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA) under certain conditions. Only sunscreens with SPF 15+ and "broad spectrum" protection are eligible.

Can you buy shampoo with HSA?

Over-the-counter toiletries or personal hygiene items which may include, but are not limited to shampoo, toothpaste, conditioners, hand creams, deodorant, shaving cream, razors, dental floss, body powders, hair gels/sprays, make-up, nail polish accessories, soap, mouthwash, etc., are not reimbursable.

Do dental implants count as medical expenses?

Dental implants are classified as a medical expense when they are necessary due to tooth loss from an injury or illness. In such cases, individuals may be eligible to deduct these costs from their taxes. However, if the purpose of the treatment is solely cosmetic, it typically does not qualify for tax deductions.

Can you use HSA for laser skin treatment?

Whether it's for your annual skin exam, facial treatments like laser therapy, or prescription skincare, your HSA can help cover a variety of dermatology-related costs. ⁠ It's a smart way to invest in your skin health and maintain a radiant, youthful complexion without it coming out of your budget.