Is Orthopedic Shoes HSA-Eligible? (2026)
Orthopedic shoes are HSA-eligible only with a prescription or letter of medical necessity.
Typical Cost
$50–$300+ (orthopedic shoes); $200–$800 (custom orthotics)
Details
Regular shoes — even comfortable ones marketed as "orthopedic" — aren't HSA-eligible. But if a podiatrist or doctor prescribes specific orthopedic shoes for a medical condition (plantar fasciitis, diabetic neuropathy, foot deformities), the amount exceeding the cost of normal shoes is eligible. Custom orthotics (shoe inserts) prescribed by a doctor are also eligible. Keep the prescription and receipts.
Requirements
Requires a prescription or letter of medical necessity from a doctor. Only the cost exceeding normal footwear is eligible.
Frequently Asked Questions
Are orthopedic shoes HSA-eligible?
Only with a doctor's prescription for a specific foot condition. The eligible amount is the cost above what you'd pay for regular shoes.
Are custom orthotics HSA-eligible?
Yes, with a prescription. Custom orthotics made from a mold of your foot for a medical condition are eligible.
Are Dr. Scholl's insoles HSA-eligible?
OTC insoles are generally not eligible unless prescribed for a specific condition. Custom orthotics with a prescription are.
Related HSA Expenses
More HSA Resources
Track this expense in HSA Tracker
Snap a photo of your receipt and let AI categorize it. Never lose track of an HSA-eligible expense again.
Get Started Free