Using Your FSA or HSA at Target: What's Eligible

Target sells both FSA and HSA eligible items and non-eligible items. Learn which categories are reimbursable outright, which need a letter, and which aren't covered.

8 minute read

Burst guide cover, for shoppers: the headline "Using Your FSA or HSA at Target" over the line "Outright, with a letter, or not at all. Every item, one list." with three tags: Outright, With a letter, Not reimbursable.

Short answer

Target carries eligible and non-eligible items. Reimbursable outright: OTC medicines, medical devices, prescription glasses, dental care, and menstrual products. Reimbursable with a letter: vitamins, supplements, fitness equipment, and personal care tied to diagnosed conditions. Not reimbursable: toiletries, cosmetics, clothing, and food.

What you can buy depends on your FSA, HSA or HRA plan and whether you have a letter of medical necessity. The plan document governs which items your administrator will reimburse. Request your letter before you buy so your purchase date is covered.

What Target items your FSA or HSA covers

Target is one of the largest retailers in the US, and it stocks items across three eligibility categories. Reimbursable outright means your FSA, HSA or HRA pays the full cost with just a receipt. Reimbursable with a letter means a licensed clinician must explain in writing how the item treats a specific diagnosed condition. Not reimbursable means your account won't cover it because it falls outside the IRS definition of medical care.

How to read the list

Every item at Target falls into one of three categories. Medical expenses must treat a disease or health condition. If an item serves this purpose and isn't personal care or cosmetics, it's reimbursable. Otherwise it depends on your plan or requires a letter from a clinician.

OTC and pharmacy items at Target

Target's pharmacy and over-the-counter medicine section is where most reimbursable purchases happen. Over-the-counter medicines are reimbursable outright from an FSA, HSA or HRA. The CARES Act of 2020 restored them, removing the old requirement that a medicine be prescribed. Insulin has always qualified: "You can also include amounts you pay for insulin" (Publication 502). This means you can now buy common medicines at Target's pharmacy or drugstore shelves without a prescription and get reimbursed from your FSA, HSA or HRA.

Item

FSA, HSA or HRA?

Notes

Pain relievers, allergy medicine, cold and cough medicine, antacids, sleep aids, antihistamines

Reimbursable outright

The old rule excluded OTC drugs. The CARES Act of 2020 restored OTC medicines and drugs to full reimbursement eligibility.

OTC topical creams and acne treatments

Reimbursable outright

CARES Act expanded OTC eligibility to include these items

Insulin

Reimbursable outright

"You can also include amounts you pay for insulin"

Prescription medicines and drugs

Reimbursable outright

"You can include in medical expenses amounts you pay for prescribed medicines and drugs"

Vitamins, supplements, protein, probiotics, creatine, collagen

Reimbursable with a letter

"Unless they are recommended by a medical practitioner as treatment for a specific medical condition"

Medical marijuana or CBD

Not reimbursable

Federal law bars reimbursement even where state-legal

Personal care and general toiletries at Target

Target's personal care section includes many items that aren't eligible. The IRS says items for personal care aren't reimbursable unless it is used primarily to prevent or alleviate a physical or mental disability or illness. The key distinction: is the item for general hygiene or for treating a diagnosed condition?

Most items in Target's personal care aisle are ineligible because they serve general hygiene purposes, not medical treatment.

Item

Eligibility

Why

Shampoo, conditioner, soap, body wash

Not reimbursable

Personal care items, not medical treatment

Deodorant

Not reimbursable

General toiletry, not tied to disease or disability

Toothbrush, toothpaste, floss, mouthwash

Not reimbursable

"The cost of a toothbrush and toothpaste is a nondeductible personal expense"

Electric toothbrush

Reimbursable with a letter

Reimbursable if a clinician diagnoses a gum condition it treats

Sunscreen SPF 15 or higher, broad spectrum

Reimbursable outright

Recognized as medical protection, not general cosmetics

Lip balm with SPF 15 or higher

Reimbursable outright

Functional sun protection, not cosmetic

Cosmetics, lipstick, makeup, nail polish

Not reimbursable

Cosmetic products for appearance, not medical treatment

Teeth whitening, hair removal products

Not reimbursable

Cosmetic procedures and products for appearance

Menstrual care products (tampons, pads, cups, liners)

Reimbursable outright

CARES Act 2020 made these eligible

Vision and dental at Target

Target's vision center carries eligible eyewear. Target also stocks dental care items. Here are the eligibility rules for vision and dental products at Target.

Item

Eligibility

Notes

Prescription glasses, contacts, contact solution

Reimbursable outright

You can include in medical expenses amounts you pay for eyeglasses and contact lenses needed for medical reasons

Prescription sunglasses

Reimbursable outright

Prescription eyewear qualifies as medical

Reading glasses (non-prescription)

Reimbursable outright

Eyewear for medical vision correction

Sunglasses without prescription

Not reimbursable

General accessories, not medical treatment

Toothbrush, toothpaste, mouthwash

Not reimbursable

Personal care items, not treatment of disease

Medical devices and equipment at Target

Target stocks a growing selection of medical devices and health tracking equipment. Most are reimbursable outright.

Item

Eligibility

Notes

Blood pressure monitors

Reimbursable outright

Medical device under IRS Publication 502

Glucose monitors and test strips

Reimbursable outright

Essential for diabetes management

Pulse oximeters

Reimbursable outright

Medical device for respiratory and heart monitoring

Thermometers

Reimbursable outright

Basic medical diagnostic tool

TENS units

Reimbursable outright

Medical device for pain relief

Hearing aid batteries

Reimbursable outright

"You can include in medical expenses the cost of a hearing aid and batteries, repairs, and maintenance needed to operate it"

Fitness trackers and smart rings (non-medical)

Reimbursable with a letter

Reimbursable only if tied to a diagnosed condition a clinician names

Massage guns and handheld massagers

Reimbursable with a letter

Reimbursable when prescribed or recommended by a clinician for a diagnosed condition

Fitness and wellness at Target

Target carries fitness equipment and wellness items. Most are reimbursable only with a letter from a clinician who ties them to a diagnosed condition.

Item

Eligibility

Notes

Fitness equipment (dumbbells, resistance bands, yoga mats)

Reimbursable with a letter

You can't include in medical expenses health club dues or amounts paid to improve one's general health unless a clinician prescribes the equipment for a diagnosed condition

Fitness tracker or smart watch

Reimbursable with a letter

Reimbursable if a clinician documents that it monitors a diagnosed condition

Yoga mat

Reimbursable with a letter

Eligible only if a clinician prescribes yoga for a diagnosed condition

Massage chair

Reimbursable with a letter

Eligible when prescribed by a clinician for a diagnosed condition like back pain

Weighted blanket

Reimbursable with a letter

Eligible if a clinician documents it treats a diagnosed condition such as anxiety or insomnia

Air purifier or humidifier

Reimbursable with a letter

Eligible when a clinician ties it to treating a diagnosed respiratory condition

Vitamins and supplements

Reimbursable with a letter

Reimbursable only if a clinician prescribes them for a specific diagnosed condition

What changes by plan

Your FSA, HSA or HRA plan document controls which items your administrator will reimburse. Two employers might use the same type of plan but cover different items. For example, one employer's plan might reimburse fitness equipment with a letter, while another excludes it entirely. Your summary plan description, which you received when you enrolled, lists what your employer chose to cover. If you're unsure, ask your employer's benefits administrator.

How reimbursement gets paid

Burst files the reimbursement claim with your FSA, HSA or HRA administrator, and the administrator pays you out of your account by deposit or check. The letter must be dated on or before the purchase it covers, so request it before you buy.

Getting it reimbursed with Burst

Burst handles the letter and the claim. You request the letter of medical necessity in about two minutes for $35, a licensed clinician reviews it, and it typically lands in your inbox within 24 hours. Burst files the reimbursement claim with your FSA, HSA or HRA administrator. The administrator pays you out of your account by deposit or check. No letter, no charge. Claim denied, money back. Request it before you buy, because the letter has to be dated on or before the purchase it covers.

Request my letter for $35

Frequently asked questions

Can I use my FSA or HSA on anything I buy at Target?

No. Target carries both eligible and non-eligible items. Medicines, medical devices, vision care, and some personal care items tied to a diagnosed condition are eligible. General household items, food, clothing, and cosmetics aren't. Your plan document also limits which items your administrator covers.

Do I need a letter to buy fitness equipment at Target with my FSA or HSA?

Yes, for most items. Fitness equipment, fitness trackers, yoga mats, and weighted blankets are reimbursable only with a letter from a clinician. Request the letter before you buy so the date covers your purchase.

Is sunscreen reimbursable at Target?

Yes, if it's SPF 15 or higher with broad-spectrum coverage. Sunscreen qualifies as medical protection. General cosmetic skincare products don't.

Are vitamins from Target reimbursable?

Only with a letter. "Unless they are recommended by a medical practitioner as treatment for a specific medical condition," vitamins aren't reimbursable. A clinician must tie the vitamin to a diagnosed condition.

Can I use my HSA at Target without a receipt?

You need a receipt for your administrator to approve the reimbursement claim. Keep your Target receipt along with your letter of medical necessity. Burst files the claim with your administrator, and the administrator pays you.

Can I buy food at Target with my FSA or HSA?

No. Food is classified as a personal care and living expense under IRS Publication 502 and is never reimbursable, regardless of whether it's labeled as healthy, organic, or targeted at a specific condition.

Are clothing and shoes reimbursable at Target?

No. Clothing and shoes are personal care items and fall outside the IRS definition of medical expenses. They're not eligible for reimbursement from an FSA, HSA or HRA, even if you have a letter for a diagnosed condition.

Keep reading: What Can I Use My FSA Funds On?, What Can I Use My HSA Funds On?, 75+ Surprising FSA/HSA Eligible Items, and all guides on this topic.

Sources

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Make every dollar count

Start saving on your healthcare with a single connection.

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Make every dollar count

Start saving on your healthcare with a single connection.

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