Is Orthodontic Work Covered Under an HSA?

Orthodontic work can be a significant expense, but many people wonder whether it is covered under a Health Savings Account (HSA). The good news is that HSA funds can be used to cover orthodontic work in certain circumstances, making it a valuable option for those needing orthodontic treatment.

Here's how HSA coverage for orthodontic work typically works:

  • Orthodontic work is considered a qualified medical expense by the IRS, making it eligible for HSA funds.
  • However, HSA funds can only be used for medical expenses that are deemed necessary for the treatment of a specific medical condition. This means that orthodontic work to correct a purely cosmetic issue may not be covered.
  • If the orthodontic work is necessary to address a medical condition, such as misaligned teeth causing pain or difficulty eating, it is likely to be covered under an HSA.
  • It's important to keep detailed records and documentation of the medical necessity of the orthodontic work to ensure HSA funds can be used for reimbursement.
  • Be sure to check with your HSA provider and review the specific guidelines of your plan to understand what orthodontic expenses are eligible for reimbursement.

While orthodontic work may not always be covered under an HSA, it is worth exploring the possibility if the treatment is necessary for your health and well-being. By using HSA funds for orthodontic work, you can save on taxes and make managing the cost of treatment more affordable.


When considering orthodontic work, many individuals are surprised to learn that certain types of treatments can indeed be funded through a Health Savings Account (HSA). This could be a game-changer for those facing high dental expenses.

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