Black OOFOS slide sandals worn on a light stone floor.

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

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Quick Answer:

Yes, OOFOS recovery slides, sandals, and shoes are HSA/FSA eligible with a Letter of Medical Necessity (LMN) from a licensed healthcare provider. They qualify when used to prevent, manage, or reverse conditions like plantar fasciitis or metatarsalgia.

Crates Health makes this easy. Get your personalized, compliant LMN and handle your reimbursement in one click.

What Is OOFOS

OOFOS makes recovery footwear for the hours outside your workout. Its range includes the OOriginal thong sandal, OOahh slides, OOcloog clogs, and closed-toe shoes like the lace-up OOmy Stride. Regular prices run from about $60 for the OOriginal sandal and OOahh slide to $120 for the Stride.

The brand describes its OOfoam cushioning and arch-supporting footbed. Those features appear in different shapes: an open sandal leaves your toes and heel uncovered, while a lace-up shoe surrounds the foot with an upper. The shape matters when a tender toe joint or irritated heel needs room.

OOFOS describes its footwear as suitable for casual walking and post-workout recovery. It does not recommend exercise-specific use. Your HSA or FSA pays for a pair when it does a medical job for your feet, beyond feeling good after a workout.

Why OOFOS Qualifies for HSA/FSA

OOFOS footwear qualifies with a Letter of Medical Necessity (LMN) documenting its medical purpose. IRS Publication 502 defines medical expenses around the “diagnosis, cure, mitigation, treatment, or prevention of disease.” When a licensed provider ties your OOFOS to a foot condition in your letter, the pair becomes medical care you can buy with HSA/FSA funds.

A provider can document a footwear need for conditions such as:

  • Plantar fasciitis. Cushioning under the heel and support through the arch are relevant to managing plantar heel pain. The American Academy of Orthopaedic Surgeons (AAOS) includes thick soles and extra cushioning among footwear measures for this condition.
  • Metatarsalgia. Pain across the ball of the foot can make pressure relief a medical need. Mayo Clinic says arch supports might lessen the stress on the metatarsal bones. OOFOS describes arch support as part of its footbed design.
  • Insertional Achilles tendinitis. An open heel leaves the back of the shoe away from the irritated tendon. AAOS includes open-back footwear among ways to reduce that irritation. That applies to the open-back styles, not the lace-up Stride.
  • Bunions. Bunion pain often starts where a shoe rubs the bony bump. AAOS recommends a wide or open toe box. An open sandal serves that purpose when its straps also leave the affected joint room.

Other conditions qualify when a licensed provider documents how the footwear helps prevent, manage, or reverse them.

How to Get OOFOS Covered With a Letter of Medical Necessity

There are two ways to get your letter:

  • Through Crates, typically in under 24 hours. Complete a 2 to 3 minute online health assessment. A licensed provider reviews your answers and, if you qualify, issues your letter for the footwear. The letter is valid for 12 months, with renewal each year.
  • Through your own doctor, a few days to a few weeks. Book a visit and explain that you want to buy supportive footwear with HSA/FSA funds. Ask your doctor to document how it helps prevent, manage, or reverse your condition in a signed, dated letter. You may owe a copay.

How to Buy OOFOS With HSA/FSA Funds

Buy your OOFOS wherever you like, then get the eligible purchase reimbursed.

  1. Get your Letter of Medical Necessity first. Use either route above before buying your pair.
  2. Shop online or in store. Pay with your personal card and keep the itemized receipt showing the footwear and the amount paid.
  3. Get your money back. Crates one-click reimbursement files the claim for you, or upload the letter and receipt yourself. With an HSA, keep both with your tax records.

Under Crates guidance, your letter covers purchases made on or after its issue date. A new letter does not cover shoes you bought earlier. The purchase must also fall after your HSA was established or during your FSA coverage period.

Using pre-tax funds can save you up to 30%. Your actual savings depend on your tax rates and how you fund the account.

Which OOFOS Products Qualify

OOFOS sandals, clogs, and shoes, men's and women's alike, qualify the same way: with an LMN for their medical use. Whatever the model name or price, the medical purpose your provider documents is what qualifies the pair.

These are representative current styles, with approximate regular US prices checked October 26, 2026:

Product and approximate priceWhat it isHSA/FSA eligibility
OOriginal Sandal, $60Open-toe thong sandalYes, with an LMN
OOahh Slide, $60Open-toe slide with a broad strapYes, with an LMN
OOahh PLUS Slide, $70Slide with a wider strap and, according to OOFOS, 6 mm more OOfoam than the OOahhYes, with an LMN
OOcloog Clog, $80Closed-toe, open-back clogYes, with an LMN
OOmy Stride, $120Lace-up shoe with a stretch upperYes, with an LMN

Looking beyond OOFOS? Our shoe eligibility guide covers footwear in general, and our OluKai eligibility guide covers another sandal brand. For support added inside shoes you already own, see insoles and orthotics.

Frequently Asked Questions

Are OOFOS FSA eligible?

Yes. An FSA covers OOFOS bought for a medical purpose, such as cushioning to help manage plantar fasciitis, with an LMN. Your provider documents that need. Get the letter before purchasing, and keep the receipt with it so you have both documents for reimbursement.

Are OOFOS slides good for plantar fasciitis?

They have the two things AAOS points to in plantar fasciitis footwear: support and extra cushioning. OOFOS says its OOfoam footbed cradles your arch, and AAOS says a cushioned shoe reduces tension on the plantar fascia. When your provider ties the slides to your heel pain in an LMN, buy them with HSA/FSA funds.

Can I use my HSA or FSA card to buy OOFOS?

You can try, but most online stores aren't set up to take HSA or FSA cards, so expect to use your personal card. Keep the itemized receipt with your LMN. Paid with your personal card? Crates files that claim for you in one click, and the eligible amount comes back to you.

Can I use HSA/FSA funds for OOFOS I already bought?

Yes, if the purchase was covered by a valid letter and fell within your account’s dates. Under Crates guidance, a new LMN does not reach back to an earlier purchase. If you bought before getting your letter, get one now for your next pair.

Can I buy OOFOS on Amazon with HSA/FSA funds?

Yes. The medical-purpose and LMN requirements apply to an Amazon purchase too. OOFOS identifies ReCommerce as its authorized Amazon seller. Get your letter first, buy with your personal card, and download the itemized order receipt so the footwear purchase is ready for reimbursement.

Which footwear is FSA approved?

Footwear with a documented medical purpose qualifies, including recovery sandals used for a foot condition with an LMN. What the pair does for your feet decides it, whatever the box calls it. Our guide to HSA/FSA-eligible shoes explains the broader footwear options and how to get a letter.

Anchor Ebanks

Written by

Anchor Ebanks

Anchor Ebanks is an HSA/FSA optimization expert featured in Yahoo Finance, The American Journal of Healthcare Strategy, Admissions Gateway, and Poets & Quants. He attended Harvard Business School and was an AI research fellow at the Berkman Klein Center for Internet & Society focused on healthcare access. Prior to wellness benefits, he spent nearly a decade at Google, YouTube, and Deloitte. Connect on LinkedIn, Twitter, or at anchor@crateshealth.com.

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