FSA and HSA Eligible Diabetes Supplies: Complete List 2025
Managing diabetes comes with ongoing costs — from testing supplies to insulin delivery devices. The good news is that many of these essential items qualify for reimbursement through a Flexible Spending Account (FSA) or Health Savings Account (HSA). Using these tax-advantaged accounts can significantly reduce your out-of-pocket spending throughout the year.
This guide breaks down which diabetes supplies are FSA and HSA eligible in 2025, helping you make the most of every dollar in your account.
What Are FSA and HSA Accounts?
Before diving into the product list, here's a quick overview:
- FSA (Flexible Spending Account): An employer-sponsored benefit that lets you set aside pre-tax dollars for qualified medical expenses. Funds typically expire at year's end unless a rollover option is available.
- HSA (Health Savings Account): Available to those with a high-deductible health plan (HDHP). Contributions are tax-deductible, and unused funds roll over year after year.
Both accounts accept the same categories of qualified medical expenses as defined by the IRS, which includes a broad range of diabetes-related supplies.
FSA and HSA Eligible Diabetes Supplies
Blood Glucose Monitoring
Keeping blood sugar levels in check requires consistent monitoring. The following items are generally FSA/HSA eligible:
- Blood glucose meters (glucometers)
- Test strips compatible with your meter
- Lancets and lancing devices for fingerstick testing
- Control solutions used to verify meter accuracy
- Continuous Glucose Monitors (CGMs) and related sensors and transmitters
CGM technology has become increasingly popular among both Type 1 and Type 2 diabetes patients, and the devices — along with their supplies — are fully reimbursable.
Insulin Delivery Supplies
Whether you use injections, pens, or a pump, delivery supplies qualify for FSA/HSA reimbursement:
- Insulin syringes
- Insulin pen needles
- Insulin pumps and pump accessories
- Infusion sets and reservoirs for insulin pumps
- Pump carry cases and clip attachments
Note that insulin itself is also an eligible expense under FSA and HSA guidelines, making these accounts especially valuable for insulin-dependent individuals.
Additional Diabetes Care Items
Beyond monitoring and delivery, several other products used in daily diabetes management are eligible:
- Alcohol swabs and skin prep wipes
- Sharps containers for safe disposal
- Glucose tablets and gels (used for treating hypoglycemia)
- Diabetic skin care products specifically designed to treat diabetes-related skin conditions
- Diabetic socks and footwear — eligible when prescribed by a physician for a medical condition
Some items, like vitamins or general wellness products, are not eligible unless accompanied by a Letter of Medical Necessity (LMN) from your doctor.
How to Use Your FSA or HSA for Diabetes Supplies
Here are some practical tips for getting the most from your account:
- Know your deadlines. FSA funds often expire on December 31 or March 15 of the following year (grace period). Plan purchases accordingly.
- Keep your receipts. Save itemized receipts for all eligible purchases in case of an audit.
- Use your FSA/HSA debit card. Many accounts come with a card that can be used directly at eligible retailers.
- Request a Letter of Medical Necessity for borderline items like diabetic footwear or certain supplements.
- Shop at verified retailers. Purchasing from reputable diabetes supply stores ensures product eligibility and proper documentation.
You can browse a wide selection of FSA and HSA eligible items at MDS Diabetes, where products are clearly listed and easy to identify for reimbursement purposes.
Planning Your 2025 Diabetes Supply Budget
If you're enrolled in an FSA or HSA, the beginning of the year is an ideal time to estimate your annual diabetes supply needs. Consider:
- How many test strips or CGM sensors you use monthly
- Whether you need to replace or upgrade any devices
- Any prescription-based items your doctor has recommended
Having a clear picture of your typical usage helps you set an accurate contribution amount for the year — and avoid leaving money on the table.
For a comprehensive selection of testing supplies, insulin delivery devices, and more, explore the full range of diabetes products available through MDS Diabetes.
A Note on Eligibility
While the items listed above are generally accepted as FSA/HSA eligible, eligibility can vary by plan administrator. Always confirm with your account provider before making a large purchase, and consult your healthcare provider if you're unsure whether a specific item qualifies.
The IRS updates its guidelines periodically, so checking for 2025-specific guidance from your plan administrator is always a smart step.
For diabetes supplies at affordable prices, visit MDS Diabetes. FSA and HSA eligible products, free shipping on orders over $60.
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