Using Your HSA/FSA

Using Your HSA or FSA for Compression Garments

Many customers ask whether they can use a Health Savings Account (HSA) or Flexible Spending Account (FSA) to pay for compression stockings and garments. In many cases you can, but eligibility depends on your specific plan and your medical circumstances. This page explains how the rules generally work so you can confirm what applies to you.

What are HSA and FSA accounts?

An HSA and an FSA are accounts that let you set aside pre-tax dollars to pay for qualified medical expenses. An HSA is paired with a high-deductible health plan and the funds roll over year to year. An FSA is offered through your employer and funds typically must be used within the plan year. Both are governed by IRS rules and administered by the bank or benefits company that manages your account.

Are compression garments an eligible expense?

Compression garments are frequently eligible when they are used to treat a diagnosed medical condition, such as venous insufficiency, lymphedema, or swelling, rather than for general comfort or athletic use. Because eligibility is tied to medical necessity, your plan administrator may ask for supporting documentation before approving the expense.

Two things commonly determine whether your purchase is covered:

  • Medical necessity. The garment should be recommended by a healthcare provider to treat a specific condition.
  • Your plan's rules. Each HSA/FSA administrator applies IRS guidelines slightly differently and maintains its own list of eligible items.

Because of this, we can't confirm in advance that a particular item will be approved under your plan. The most reliable step is to check directly with your plan administrator before you buy.

Documentation you may need

To substantiate a compression-garment purchase, your administrator may request one or more of the following:

  • A prescription or a Letter of Medical Necessity (LMN) from your healthcare provider.
  • An itemized receipt showing the product, date, and amount paid.

Every order placed with us includes an itemized receipt by email. If you need a duplicate or a receipt in a specific format for reimbursement, contact us and we'll be glad to help.

How to pay

Your HSA or FSA card may work at checkout the same way any other card does. If your card isn't accepted for a purchase, or if your plan requires it, you can pay with a personal card and then submit your itemized receipt, along with any prescription or Letter of Medical Necessity, to your administrator for reimbursement.

Have questions?

For questions about your order or receipts, contact our team. For questions about what your account covers, your contribution limits, or reimbursement, please reach out to your HSA/FSA plan administrator.

Please note: This information is provided for general educational purposes only and is not tax, legal, financial, or medical advice. HSA and FSA rules are set by the IRS and by your individual plan, and they can change. Eligibility for any specific purchase is determined solely by your plan administrator. Please confirm coverage with your administrator and consult a qualified tax or financial professional before relying on HSA or FSA funds for a purchase.