Yes, ketone test strips are eligible for purchase with a Flexible Spending Account (FSA) or Health Savings Account (HSA).
Why Are Ketone Test Strips FSA/HSA Eligible?
Ketone test strips are used to monitor ketone levels in the body, primarily for individuals with diabetes or other metabolic conditions. They help detect a serious complication called diabetic ketoacidosis (DKA), which can occur when the body produces high levels of ketones due to a lack of insulin.
Because ketone testing is used to monitor and manage a diagnosed medical condition, these products qualify as eligible medical expenses under IRS Code Section 213(d).
According to the SIGIS Eligible Product List Criteria, ketone test strips are considered FSA- and HSA-eligible without a prescription.
FSA- and HSA-eligible ketone test products include:
Urine ketone test strips
Blood ketone test strips (used with compatible ketone meters)
Ketone test kits labeled for medical use
Diabetic ketone monitoring supplies
These products are commonly recommended by healthcare providers for patients with Type 1 diabetes and are also used during illness or fasting to prevent complications.
What’s Not Covered?
Ketone test strips or devices marketed solely for weight loss, general fitness, or non-medical ketogenic diet tracking do not qualify. This includes:
Ketone breath analyzers marketed for lifestyle use
Strips or devices sold without medical guidance or indication
Products bundled with non-medical diet or supplement kits
To qualify, the product must be marketed for medical use, such as diabetes management or ketone level monitoring tied to a diagnosed condition.
How to Buy Ketone Test Strips with Your FSA or HSA
You can purchase ketone test strips directly at buyFSA.com using your FSA or HSA card. Every item listed on buyFSA.com is FSA- and HSA-eligible, so there’s no guesswork or reimbursement hassle.
If purchasing elsewhere:
Use your FSA or HSA card at checkout (in-store or online)
Look for packaging that identifies the product for diabetic or medical ketone monitoring
Save your receipt in case your plan administrator requests documentation
Avoid products labeled for non-medical use such as fitness or general dieting
For more information, see the SIGIS Eligible Product List Criteria.
