Is a Fitbit FSA/HSA Eligible?

No, a Fitbit is not eligible for purchase with a Flexible Spending Account (FSA) or Health Savings Account (HSA). 

Fitbit products are not eligible for reimbursement through a Flexible Spending Account (FSA) or Health Savings Account (HSA) because they are considered general wellness devices rather than medically necessary equipment. According to IRS guidelines and SIGIS standards, FSA and HSA funds can only be used for products that diagnose, treat, or manage specific medical conditions.

While Fitbits and similar fitness trackers offer features like heart rate monitoring and step counting, they are primarily marketed to promote fitness, activity tracking, and overall wellness. These purposes do not meet the criteria for medical necessity outlined by the IRS. To qualify, a product must serve a specific medical function that addresses a diagnosed condition, and fitness trackers are generally considered lifestyle items rather than medical devices.

Certain devices that provide similar functionality to Fitbits may qualify for FSA/HSA reimbursement if they are specifically designed and marketed for medical purposes. These include:

• Heart Rate Monitors or Diagnostic Devices: Products that measure heart rate, oxygen saturation, or other vital signs for medical reasons may qualify.

• Medical Alert Devices: Wearable devices that monitor health conditions and alert users or caregivers of potential emergencies, such as fall detection or heart irregularities, are typically eligible.

• Blood Pressure Monitors: Devices designed to monitor and manage blood pressure as part of a treatment plan for hypertension or cardiovascular conditions.

• Continuous Glucose Monitors (CGMs): Devices for individuals managing diabetes to monitor glucose levels in real time.

These products may require a Letter of Medical Necessity (LMN) from a healthcare provider to confirm their use for a diagnosed medical condition if they are not listed on the buyFSA marketplace.