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Is Regular Toothbrush HSA/FSA Eligible?

Category: Dental Care · Updated 2026-11-11
NOT ELIGIBLE
The Ruling

General hygiene items used whether or not you have a diagnosed condition are excluded. An electric toothbrush prescribed for a specific periodontal condition can be an exception with an LMN.

Medical careIRC §213(d) · IRS Pub. 502, "General Health"
Typical price$3-10
Letter of Medical NecessityNot required
CategoryDental Care

How the rule applies

A regular toothbrush is a hygiene item used by everyone, so the IRS treats it as a personal expense. Toothpaste, floss and mouthwash fall in the same group.

What to keep for your records

Do not submit these. If your dentist prescribes a special brush or device for a diagnosed gum problem, get that in writing.

Watch out for

Prescription fluoride and special treatments are eligible. The aisle of everyday hygiene products is not.

Related in Dental Care

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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.

Your next step

Learn what applies to you, run your own numbers, then act on it.

1 · LearnHSA vs. FSAWhich account you can have, and what changes when you switchRead the guide 2 · AssessHSA Eligibility CheckerCan you open or contribute to an HSA this year?Open the tool
3 · ActOpen an HSALively offers an HSA you can open online. Confirm you have a qualifying HDHP first.Open an HSA with Lively Partner link. We may earn a commission; it never changes a ruling. How we make money
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