Are Orthopedic Shoes HSA/FSA Eligible?
Only the amount above the cost of a comparable regular shoe is eligible, and it usually needs a podiatrist's note tying it to a condition.
Note: some plan administrators may still request documentation.
How the rule applies
Orthopedic shoes are eligible only for the extra cost over a comparable regular pair, and only when they treat a condition. A podiatrist's note ties the purchase to that condition.
What to keep for your records
Keep the receipt and a note from your podiatrist. Ask the shop for the price of a regular pair of the same style so you can work out the difference.
Watch out for
Do not submit the full price. Only the amount above what a normal shoe would cost is eligible, so the paperwork matters.
Where to buy it HSA/FSA-eligible
Pay with your HSA or FSA card directly, or buy elsewhere and save the receipt to submit for reimbursement.
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HSA/FSA Reimbursement & Documentation
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This ruling applies the HSA/FSA account rules (IRC §223, IRS Pub. 969), the medical-care definition they rely on (IRC §213(d), IRS Pub. 502) and any later statutory change or IRS guidance listed above. It is for informational purposes only. Eligibility can vary slightly by plan administrator — when in doubt, confirm with yours before purchasing.