Can You Pay for Shoes Using an HSA?

Health Savings Accounts (HSAs) are a great tool for managing healthcare expenses, but can you use them to pay for shoes? The short answer is: it depends.

HSAs are designed to help individuals save money for medical expenses that are deemed eligible by the IRS. While medical expenses typically include things like doctor visits, prescriptions, and medical procedures, there are some grey areas when it comes to what can be considered a qualifying expense. For example, durable medical equipment like orthopedic shoes may be eligible for HSA reimbursement if prescribed by a physician to treat a medical condition such as diabetes or arthritis.

However, generally speaking, shoes that are primarily for everyday wear or fashion purposes would not qualify for HSA reimbursement. It's important to keep in mind that using an HSA for unqualified expenses may result in tax penalties, so it's best to check with your HSA provider or tax advisor if you're unsure about a specific purchase.


While Health Savings Accounts (HSAs) are a fantastic means of saving money for healthcare costs, it can be confusing to navigate what you can actually pay for. When it comes to footwear, the question arises: Can you pay for shoes using an HSA? The answer varies based on the type of shoes purchased.

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