What You Need to Know
Orthodontic retainers and related devices are qualified medical expenses. Whether you need a retainer after braces, a replacement retainer years later, or a clear aligner system like Invisalign for ongoing correction, the cost is HSA-eligible. This includes both removable and fixed (permanent) retainers, as well as custom-made and over-the-counter options. Night guards prescribed for bruxism (teeth grinding) by a dentist also qualify since they treat a dental condition. Retainer replacements are common because they wear out over time, so this is an expense that can recur.
What Qualifies
- ●Removable retainers (Hawley and clear/Essix type)
- ●Fixed (permanent, bonded) retainers
- ●Clear aligners (Invisalign, ClearCorrect, Byte, and similar systems)
- ●Retainer replacements and repairs
- ●Orthodontic appliances (palate expanders, space maintainers)
- ●Night guards and bite splints prescribed for bruxism
- ●Orthodontic consultations for retainer fitting and adjustments