Artificial Teeth: HSA Eligibility

Artificial Teeth: reimbursement is not eligible with a Health Savings Account (HSA)
Artificial teeth reimbursement is eligible, unless they are for a cosmetic purpose, with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA) or a limited-purpose flexible spending account (LPFSA). Artificial teeth reimbursement is not eligible with a dependent care flexible spending account (DCFSA).

Eligible expenses for Limited Purpose FSAs (LPFSA) can vary. To find out exactly what your LPFSA covers, contact your FSA administrator.

Treas. Reg. '1.213-1(e)(1)(ii)

What are artificial teeth?

As we grow older, the debilitating effects of age will take its toll on our hair, skin and various physiological functions, and our teeth are certainly not spared from the test of time. Over time, tooth loss can occur from the emergence of gum disease, trauma or other dental maladies, which may require major dental surgery and other procedures to alleviate the problem. Luckily, artificial teeth have advanced by leaps and bounds over the past several decades and now look almost indistinguishable from real teeth.

Artificial Teeth Types

If individuals happen to lose teeth, artificial teeth will be eligible for reimbursement with an FSA, HSA or HRA because they affect the structure of body under the IRS definition of medical care. Account holders have a wealth of options available to them to treat a wide variety of potential dental ailments, including via National Center for Biotechnology Information:

  • Partial Dentures: These removable false teeth are among the most common forms of artificial teeth available meant to replace multiple missing teeth. Partial dentures are made with false replacement teeth attached to pink or gum-colored plastic bases, and they are affixed inside the mouth with either a metal framework and clasps that connect to teeth or with precision attachments that connect to one's natural teeth.
  • Full Dentures: When an individual's tooth loss has advanced to the point that dental implants and bridges are not feasible, full dentures may be necessary. This full removable denture is custom designed to fit the wearer's mouth and gum line, and typically this is done after the remaining teeth have been removed and the tissues have healed.
  • Partial Bridge: When an individual is missing one or more teeth, dental surgeons will aim to "bridge" this gap with a dental bridge to recreate the look of the pre-existing teeth. A bridge is made up of two or more crowns to form the foundation of the bridge, and false teeth are inserted and anchored by the remaining natural teeth or additional implants.
  • Dental Implants: These artificial teeth are implanted into the jaw and hold either a fake tooth or a bridge. Dental implants fall into two categories: endosteal, which are implanted into the jaw bone with screws, cylinders or blades, or subperiosteal implants, which are placed on top of the jaw bone and held in place with a metal framework.

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Don't know where to begin? Start with these popular categories to find the eligible items and services you need.
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