Can HSA Cover Orthodontics? What You Need to Know

Are you considering orthodontic treatment and wondering whether your HSA (Health Savings Account) can cover it? The good news is that HSA funds can be used to pay for orthodontics in some cases, but there are specific rules and conditions that you need to be aware of.

Orthodontic treatment, such as braces or Invisalign, is considered a qualified medical expense by the IRS, which means you can use your HSA funds to cover it. Here are some key points to keep in mind:

  • Orthodontic treatment must be medically necessary to correct a specific dental issue, such as misaligned teeth or a bite problem, in order to be eligible for HSA coverage.
  • If the orthodontic treatment is purely for cosmetic reasons, it will not be considered a qualified expense and cannot be paid for with HSA funds.
  • It's essential to have a detailed treatment plan from your orthodontist that specifies the medical necessity of the treatment in order to justify the use of HSA funds.
  • Before proceeding with orthodontic treatment using your HSA funds, check with your HSA administrator to understand their specific guidelines and requirements.
  • Keep all receipts and documentation related to your orthodontic treatment to ensure compliance with IRS regulations and to substantiate the use of HSA funds.

By understanding the rules and limitations regarding HSA coverage for orthodontics, you can make informed decisions about using your HSA funds for orthodontic treatment.


When it comes to orthodontics, your HSA can indeed be a valuable resource. If you’re planning to get braces or Invisalign, it’s important to understand the specific guidelines surrounding the use of HSA funds. Remember, treatment must be deemed medically necessary — if it’s merely for cosmetic improvements, then those expenses won’t qualify for HSA coverage.

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