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Are Fitness Trackers FSA Eligible in 2025?

Endurance Athlete Roadmap
January 26, 2026
4 min read
Are Fitness Trackers FSA Eligible in 2025?

The Short Answer

Yes, fitness trackers CAN be FSA/HSA eligible in 2025, but with important conditions. The IRS updated guidelines to allow certain health-related devices when prescribed by a healthcare provider.

What's Required for Eligibility

1. Letter of Medical Necessity (LMN)

Your doctor must provide written documentation that the device is necessary to:

  • Monitor a specific health condition
  • Track treatment progress
  • Manage a diagnosed medical issue
  • Common qualifying conditions:

  • Heart disease or arrhythmia
  • Diabetes (blood glucose monitoring)
  • Sleep disorders
  • Obesity (when part of treatment plan)
  • Hypertension
  • Which Devices Qualify?

    Typically Covered:

  • Heart rate monitors with medical-grade accuracy
  • Continuous glucose monitors
  • Blood pressure monitors
  • Pulse oximeters
  • May Be Covered (with LMN):

  • Apple Watch
  • Garmin watches with health features
  • Fitbit devices
  • Whoop straps
  • How to Get Approved

    Step 1: Talk to your doctor about your health goals

    Step 2: Request an LMN if applicable

    Step 3: Keep all receipts and documentation

    Step 4: Submit to your FSA administrator

    What If You're Denied?

    Appeals are possible. Work with your healthcare provider to provide additional documentation about medical necessity.

    The Bottom Line

    While fitness trackers aren't automatically FSA-eligible, many athletes with qualifying health conditions can get them covered. Check with your FSA administrator for specific requirements.

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