Probiotic supplements
Probiotic supplements are eligible for HSA, FSA, and HRA reimbursement only when recommended by a medical practitioner to treat a specific medical condition diagnosed by a physician.
Eligibility Matrix
Eligibility status for all account types
| Account Type | Status |
|---|---|
| HSA | Eligible |
| FSA | Eligible |
| HRA | Eligible |
Requirements
A written recommendation or prescription from a licensed medical professional (e.g., doctor, nurse practitioner) is required, stating the probiotic is for the treatment of a specific medical condition. A Letter of Medical Necessity (LMN) may also be accepted by your plan administrator.
The probiotic must be used to treat a specific medical condition that has been diagnosed by a physician, not for general health or wellness.
Quick Reference
The IRS generally considers expenses for nutritional supplements, vitamins, and herbal supplements as non-medical expenses when used for general health. However, if a medical practitioner recommends them as treatment for a specific medical condition diagnosed by a physician, they can be considered a qualified medical expense. This rule applies to probiotic supplements.
When It Qualifies
- •Must be recommended by a medical practitioner (e.g., doctor) to treat a specific medical condition.
- •A prescription or Letter of Medical Necessity (LMN) documenting the medical necessity is required for substantiation.
When It Doesn't
- •Not eligible if used for general health, wellness, or nutritional purposes without a specific medical diagnosis and recommendation.
Important Notice
- •Your specific plan may have different rules
- •Keep all receipts and documentation
- •This is informational only, not tax or legal advice
While the IRS sets general guidelines, individual plan administrators may have specific requirements for substantiation. Always retain detailed receipts and documentation, such as a prescription or Letter of Medical Necessity, for your records. This information is for educational purposes and not tax or legal advice.