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FSAs, HSAs, and Hearing Aids: How to Save on Hearing Care

Kristen Knight, LHIS

December 30, 2021

Updated: September 29, 2025

Learn how FSAs and HSAs can help pay for hearing aids, batteries, and exams, making hearing care more affordable and accessible.

Samuel Freeman

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Hearing aids are an important investment in your health and quality of life, but the cost can feel overwhelming. Since most insurance plans do not cover hearing aids, many people wonder if there is another way to reduce out-of-pocket expenses.

Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) can make a big difference. These accounts let you use pre-tax dollars to pay for medical expenses, including hearing aids, batteries, and related care. By understanding how FSAs and HSAs work, you can maximize your savings and take an important step toward better hearing health.

Key Takeaways

  • Hearing aids and accessories are eligible expenses under both FSAs and HSAs.
  • FSA funds usually expire at the end of the year, while HSA funds roll over indefinitely.
  • Using pre-tax dollars helps reduce costs, making hearing aids more affordable.

What Are FSAs and HSAs?

A Flexible Spending Account (FSA) is an employer-sponsored benefit that allows you to set aside pre-tax money for qualifying health expenses. Many employees find this helpful because it lowers taxable income while covering out-of-pocket costs. The catch is that FSA funds usually must be spent within the same calendar year. Some employers offer short grace periods or limited carryover options, but in general, it is a “use it or lose it” system.

Hearing Aids lying on a counter next to a phone
Hearing Aids lying on a counter next to a phone

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A Health Savings Account (HSA) works differently. It is available to people with high-deductible health plans, and the money you contribute can stay in the account year after year. HSAs can even grow with interest or investment options, turning them into long-term tools for managing healthcare expenses. The money you put into an HSA is pre-tax, and withdrawals are tax-free when used for qualifying medical expenses.

Both accounts can help reduce the financial burden of hearing aids, but their rules and benefits differ in ways that are important to understand before making decisions.

How FSAs and HSAs Work for Hearing Aids

Hearing aids are considered a qualifying medical expense under IRS guidelines, which means they can be purchased with FSA or HSA funds. This applies not only to the devices themselves but also to a range of related services and accessories.

For example, if you buy hearing aids through your provider or an online retailer, you can often pay directly using your FSA or HSA card. If that option is not available, you can usually pay with your own funds and then submit receipts for reimbursement. This flexibility helps ensure that important hearing care does not become delayed because of upfront cost barriers.

Eligible hearing-related expenses include:

  • Hearing aids themselves, whether prescription or over-the-counter
  • Batteries, chargers, and cleaning kits
  • Professional services like hearing exams or audiology visits
  • Repairs, adjustments, and fittings related to hearing aid use

By covering both the devices and their ongoing care, FSAs and HSAs can help reduce the long-term costs associated with hearing loss.

Key Differences Between FSAs and HSAs

While both FSAs and HSAs help you save money on healthcare expenses, they differ in their rules, limits, and flexibility. Understanding these differences can help you choose which account works best for your situation.

Contribution Limits

Contribution limits for FSAs are set annually by the IRS and may vary slightly by employer. The cap is usually lower compared to HSAs. HSAs, on the other hand, have higher contribution limits, and individuals over 55 can make additional “catch-up” contributions. This makes HSAs a stronger option for long-term savings if you qualify.

Roll-Over Rules

FSA funds typically expire at the end of the calendar year. Some employers allow a brief grace period into the next year or permit a limited rollover, but most unused money is forfeited. HSAs offer more flexibility since funds carry over year to year with no expiration date. This allows you to build savings over time for larger healthcare expenses such as hearing aids.

Tax Benefits

Both FSAs and HSAs let you contribute pre-tax dollars and withdraw them tax-free for qualifying expenses. HSAs have the added advantage of acting like a savings or investment account. The money can grow tax-free and continue to support your healthcare needs into retirement.

Maximizing Your Benefits Before Year-End

Planning ahead is key when it comes to using FSAs and HSAs effectively. With FSAs, the biggest challenge is timing. If you do not use your funds by December 31, you may lose them. This makes the end of the year a smart time to schedule a hearing exam or invest in hearing aids if you have been considering them.

For HSA users, the strategy is different. Since your money rolls over indefinitely, you can take a longer view. HSAs allow you to save for big-ticket items like hearing aids without worrying about deadlines. They can also serve as a financial cushion for future medical needs as you age.

Whether you have an FSA or an HSA, it helps to keep track of your account balance throughout the year. Regularly reviewing eligible expenses ensures you do not miss opportunities to use your funds for hearing-related care.

Other Tax Advantages for Hearing Aids

Hearing aids may also qualify as tax-deductible medical expenses if you itemize deductions on your tax return. This includes not only the devices themselves but also exams, fittings, and maintenance costs.

When combined with FSA or HSA savings, tax deductions can reduce the financial burden even further. For example, someone who does not have an FSA or HSA may still be able to deduct hearing aid costs if they exceed a certain percentage of annual income. Consulting a tax professional is a good step if you are unsure how these deductions apply in your situation.

Choosing Affordable Hearing Aids with FSA or HSA Funds

The cost of hearing aids can vary widely, from lower-cost over-the-counter models to more advanced prescription devices. No matter the option, using pre-tax dollars from FSAs or HSAs helps lower the effective price.

Many providers, including online companies, are focused on making hearing aids more accessible and affordable. These options often combine high-quality technology with lower prices, which can help you maximize the value of your FSA or HSA contributions.

Before making a purchase, it is helpful to compare providers, review warranties, and consider ongoing costs such as batteries or service plans. The more informed you are, the easier it becomes to use your healthcare dollars wisely.

Frequently Asked Questions

Can I use my FSA or HSA to buy hearing aids?

Yes. Hearing aids are considered eligible medical expenses under both FSAs and HSAs. This includes the devices themselves as well as batteries, chargers, and related services.

Do FSAs cover hearing aid batteries and accessories?

Most FSAs allow you to use funds for necessary accessories like batteries, chargers, and cleaning kits. It is always best to confirm with your plan, but in most cases these expenses are reimbursable.

What happens if I do not spend all my FSA funds by year-end?

Typically, unused FSA money is forfeited at the end of the year. Some employers allow a short grace period or permit a small rollover amount, but most balances must be spent before December 31.

Are over-the-counter hearing aids eligible for FSA or HSA use?

Yes, most over-the-counter hearing aids are considered qualified medical expenses. As with prescription devices, keeping your receipts helps ensure reimbursement goes smoothly.

Can I use HSA funds for hearing exams?

Yes. Hearing exams, audiology visits, and related co-pays are eligible under HSA rules. These services are important for diagnosing hearing loss early and planning effective treatment.

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