Can I Use HSA for Shoe Orthotics? Understanding HSA Eligibility for Orthotics Expense

If you suffer from foot issues and require shoe orthotics to alleviate discomfort, you may be wondering if you can use your HSA for this expense. An HSA, or Health Savings Account, provides individuals with a way to save money for medical expenses while enjoying tax benefits. It is essential to understand HSA guidelines to determine if orthotics are considered an eligible expense.

According to IRS Publication 502, orthopedic shoes and shoe inserts are eligible for reimbursement using your HSA funds if they are primarily for the prevention or alleviation of a physical or mental defect or illness. This includes shoe orthotics prescribed by a healthcare professional to help correct foot alignment, provide support, or alleviate pain.

Before using your HSA for shoe orthotics, be sure to:

  • Consult with your healthcare provider to get a prescription for the orthotics.
  • Keep a copy of the prescription and the receipt for the orthotics as proof of the medical necessity.
  • Ensure that the orthotics are specifically designed to address a medical condition and not merely for general comfort.

By understanding HSA guidelines and ensuring that your shoe orthotics meet the necessary criteria, you can use your HSA funds to cover this expense. Remember to keep detailed records of the purchase and consult with your healthcare provider for proper guidance.


If you have foot problems and find relief with shoe orthotics, you might be curious about using your Health Savings Account (HSA) to pay for them. An HSA allows you to set aside pre-tax dollars for qualified medical expenses, so it’s smart to know what qualifies. As outlined by IRS Publication 502, orthotic devices, including prescribed shoe inserts, are generally eligible if they’re aimed at correcting a medical condition.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter