Are Bidets HSA/FSA Eligible? Yes, Here's How!

Why Bidets Qualify for HSA/FSA Reimbursement

A bidet replaces repeated wiping with a stream of water. That matters when hemorrhoids or anal fissures make cleaning uncomfortable, or arthritis makes reaching difficult. A bathroom purchase becomes a medical expense when its purpose is to help you manage that condition.

IRS Publication 502 defines medical expenses around the “diagnosis, cure, mitigation, treatment, or prevention of disease,” including equipment needed for those purposes. A licensed provider explains the connection between your bidet and your health in a Letter of Medical Necessity, or LMN.

With that letter, your bidet is HSA/FSA eligible. The same principle applies to other everyday purchases in our FSA eligible items guide: what the item does for your condition matters more than the label on its box.

Do Bidets Help With Hemorrhoids?

Yes. A bidet can make cleaning more comfortable when you have hemorrhoids by reducing the rubbing involved in wiping. Cleveland Clinic's hemorrhoid management guidance recommends a bidet or water for cleaning the area around the anus.

A 2025 randomized trial in BMC Surgery compared a gentle electronic bidet with warm sitz baths after hemorrhoid surgery. The trial could not confirm the bidet works at least as well, but among the 75 patients in the final analysis, pain scores at seven days were similar.

Which Health Conditions Support a Bidet LMN?

These are some of the common conditions a provider can document for a bidet. Each one benefits from the way a water wash changes cleaning after you use the toilet.

• Hemorrhoids: Water washes the area without repeatedly dragging paper across sensitive skin. Cleveland Clinic describes greater comfort for people with hemorrhoids who use a bidet.
• Anal fissures: A gentle rinse reduces the wiping that can irritate the area. The same Cleveland Clinic guidance names fissures as another reason a bidet can feel more comfortable.
• Arthritis affecting reach or mobility: If reaching behind you is difficult, a toilet-mounted wash can make cleaning easier. Cleveland Clinic names arthritis, mobility issues and difficulty reaching to wipe as reasons a bidet helps.

Other conditions also qualify when your provider documents how a bidet helps you manage them.

How to Get a Letter of Medical Necessity for Bidets

You can get your letter online through Crates or from your own doctor. Either way, a licensed provider reviews your health information and the medical reason for using a bidet.

• Through Crates, typically in under 24 hours. Complete a 2 to 3 minute online health assessment. A licensed provider reviews it and, if you qualify, issues your letter for the bidet. It stays valid for 12 months, and you renew it each year.
• Through your own doctor, a few days to a few weeks. Book a visit, say you want to buy a bidet with HSA/FSA funds, and ask them to document how it helps prevent, manage, or reverse your condition, such as hemorrhoids or arthritis that makes wiping hard. Ask for the letter signed and dated. You may owe a copay.

How to Buy Bidets With HSA/FSA Funds

Buy the bidet from the store you like, then use your health-account funds to reimburse the eligible purchase. You do not need to shop through a particular bidet brand.

1. Get your letter first. Use either option above before buying your bidet.
2. Buy anywhere. Pay with your personal card, online or in store, and keep the itemized receipt showing the bidet and amount paid.
3. Get your money back. Crates one-click reimbursement files the claim for you, or upload the letter and receipt yourself. For an HSA, keep both with your tax records.

Publication 969 explains the account timing: HSA expenses must be incurred after the account is established, and FSA expenses generally during your coverage period. Our HSA vs. FSA guide explains the differences in deadlines and how unused funds carry over.

Which Bidets Are HSA/FSA Eligible?

Bidet seats and attachments qualify with an LMN for your condition, regardless of brand. A basic attachment and an electric seat can both provide the water wash you need; the choice comes down to how you will use it.

If arthritis makes reaching difficult, think about where the controls sit as well as where the water sprays. A remote within easy reach may be more useful to you than a knob beside the bowl. For hemorrhoids or fissures, adjustable pressure lets you choose a gentle rinse.

Bidet brands

TUSHY makes both attachments and bidet seats. Its eligibility follows the same rule as any other brand: a letter connects the bidet's use to your condition.

How Much Can You Save on a Bidet?

Using pre-tax HSA/FSA funds means you keep money that would otherwise go toward taxes. For example, a $300 bidet at a combined rate near 30% saves you $90. That combined rate can include federal income, state income and payroll taxes where applicable.

Each figure below is the example purchase price multiplied by the combined tax rate at the top of its column.

These are illustrative purchase amounts, not current offers. The store still charges its full price, and reimbursement uses your own HSA/FSA balance. Your actual savings depend on your taxes and contribution arrangement, as the account tax rules in Publication 969 explain. Provider or letter fees are separate from these examples.