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Teeth whitening (prescription)

Teeth whitening, even with a prescription, is generally not eligible for HSA, FSA, or HRA reimbursement because it is considered a cosmetic procedure.

Not Eligiblehigh confidence

Eligibility Matrix

Eligibility status for all account types

Account TypeStatus
HSANot Eligible
FSANot Eligible
HRANot Eligible

Quick Reference

The IRS considers medical expenses to be costs for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for treatments affecting any structure or function of the body. Cosmetic procedures, including teeth whitening, are generally not considered qualified medical expenses unless they are necessary to improve a deformity directly related to a congenital abnormality, a personal injury, or a disfiguring disease.

When It Qualifies

  • The procedure must be necessary to improve a deformity arising from, or directly related to, a congenital abnormality.
  • The procedure must be necessary to improve a deformity arising from, or directly related to, a personal injury resulting from an accident or trauma.
  • The procedure must be necessary to improve a deformity arising from, or directly related to, a disfiguring disease.

When It Doesn't

  • Teeth whitening performed purely for aesthetic improvement.
  • Any cosmetic procedure not meeting the specific medical necessity criteria outlined by the IRS.

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Important Notice

  • Your specific plan may have different rules
  • Keep all receipts and documentation
  • This is informational only, not tax or legal advice

While this information is based on IRS guidelines, individual plan administrators may have specific rules. Always retain detailed receipts for all expenses. This information is for educational purposes only and does not constitute tax or legal advice.