Are Concierge Fees Reimbursable by HSA?

Health Savings Accounts (HSAs) offer individuals a tax-advantaged way to save for qualified medical expenses. One common question that arises is whether concierge fees are reimbursable by an HSA.

Concierge medicine, also known as boutique or retainer medicine, involves patients paying an annual fee to a primary care physician for enhanced care services and more personalized attention.

So, are concierge fees reimbursable by your HSA? The answer is generally no, as these fees are typically considered to be for non-qualified medical services. However, there are exceptions where concierge fees may be eligible for reimbursement:

  • If the concierge service includes a specific medical service that is a qualified expense under IRS guidelines.
  • If the concierge service is part of a direct primary care arrangement where the fees cover a broad range of medical services.

It's important to note that HSA rules and IRS regulations can be complex, so it's always wise to consult with a tax professional or your HSA provider for specific guidance on what expenses can be reimbursed.


Health Savings Accounts (HSAs) provide a unique opportunity for individuals to set aside pre-tax dollars for qualified medical expenses. A frequently asked question is whether the concierge fees often paid for premium personal care can be reimbursed by an HSA.

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