Biotin Supplements: FSA Eligibility

Biotin Supplements: reimbursement is not eligible with a Flexible Savings Account (FSA)
Biotin supplements are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA), a limited care flexible spending account (LCFSA) or a dependent care flexible spending account (DCFSA).

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What are biotin supplements?

Biotin, also known as vitamin H or vitamin B7, is a water-soluble B vitamin that is an important component of enzymes in the body that break down certain substances like fats, carbohydrates and other substances in the body to aid proper digestion. Many systems in the body benefit from biotin, including the skin, nerves, digestive tract, metabolism and the formation of cells, as well as being essential for the formation of fatty acids and glucose, which are a primary source of energy in the body (National Institutes of Health).

Biotin can be found in a variety of natural foods, including liver, cauliflower, bananas, soy flour, yeast, wheat germ, salmon, carrots, whole-grain cereals, whole wheat bread, eggs, dairy products, nuts, Swiss chard and chicken (Healthline). Biotin deficiency is rare, but those who experience it may showcase signs of skin rash, loss of hair, high cholesterol levels and heart problems. Biotin supplements are prescribed by doctors to treat low levels of biotin in the body, but they are also used to regulate blood pressure levels, strengthening skin, hair and nails, and helping women who may experience a biotin deficiency during pregnancy. The recommended daily amount of biotin is between 30 and 100 mcg per day for adults, and because the supplement is water soluble, any extra biotin that is not used by the body will simply pass through the body during normal urination.

Biotin supplements are available over-the-counter, and do not require a prescription for reimbursement with an FSA, HSA or HRA. Some benefits providers may require a Letter of Medical Necessity (LMN) to prove that these supplements are being used to treat a legitimate medical condition, so account holders should speak with their benefits administrators before making a purchase to ensure they have the necessary documentation for full reimbursement.

No prescription required

Under IRS '213(d)(1), "medical care includes amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body." This includes medical equipment, supplies and devices.