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Health and Fitness Products You Can Buy With HSA Funds

How to leverage tax advantages for smartwatches and fitness trackers

Lifehacker2 min

1What can you buy with HSA/FSA funds?

Health Savings Account (HSA) and Flexible Spending Account (FSA) funds can be used for fitness trackers and smartwatches that meet specific medical criteria. Under IRS rules, devices used to treat conditions like obesity or heart disease qualify. Popular products like Fitbit Air and Oura Ring are eligible, offering an average 30% tax advantage. The system encourages preventive healthcare spending through tax benefits.

2Letter of Medical Necessity required

A Letter of Medical Necessity (LMN) from a physician is mandatory for HSA/FSA purchases. This document certifies the device's medical purpose for conditions like sleep apnea or chronic pain. Some employers impose additional scrutiny for wearable tech claims. The process ensures funds are used for legitimate medical expenses rather than general wellness products, maintaining the program's integrity.

3Streamlined approval via Truemed

Platforms like Truemed simplify LMN acquisition without doctor visits. Users complete a health questionnaire reviewed by licensed providers. The company claims 90% of approvals occur within 7 hours. Brands like Coros and Amazfit integrate Truemed at checkout. This digital health innovation reduces paperwork while maintaining compliance, reflecting broader telehealth adoption trends in US healthcare administration.

4Cardiovascular monitoring devices

Heart rate monitors and smartwatches qualify under HSA/FSA for documented conditions like hypertension. Coros enables eligibility through its Truemed partnership, while Amazfit offers similar filtering options. Notably, Garmin devices remain ineligible. Traditional medical devices like blood pressure cuffs face fewer hurdles, highlighting the evolving classification of health tech in reimbursement policies.

5Recovery-focused wearables

Screenless trackers like Whoop and Oura Ring gain approval for sleep quality or chronic condition management. Their dual positioning as lifestyle products sometimes triggers stricter review. Detailed health history responses improve approval odds. Features like HRV-based stress monitoring increasingly qualify as valid medical uses, blurring lines between wellness and healthcare technology categories.

6Vendor approaches vary

Brands differ in transparency about HSA/FSA processes. While Coros integrates LMN steps into checkout, others merely label products as eligible without explanation. Amazon listings often require separate LMN documentation. Truemed CEO Justin Mares notes physicians frequently approve based on patient declarations without demanding lab tests, reflecting trust in standard-of-care assessments.

7Key limitations to consider

LMNs are product, merchant and condition-specific. Prediabetes or cardiovascular risk strengthen cases. Some FSA administrators scrutinize wearables more strictly. Even with LMN, employer plans may deny claims. Chronic pain or sleep disorders present stronger justification. These variations highlight the need for consumers to understand their specific plan's coverage parameters before purchasing.

8Future of tax-advantaged health spending

HSA/FSA eligibility for wearables reflects growing emphasis on preventive care. With 60 million Americans now having HSAs, platforms like Truemed democratize access. The trend suggests more fitness tech may gain medical device status, expanding qualified expenses. This evolution aligns with healthcare's shift toward personalized, data-driven prevention, potentially reducing long-term treatment costs through early intervention tools.

Original article: Lifehacker — HSA Fonlarıyla Satın Alınabilecek Sağlık ve Fitness Ürünleri