Are Drug Tests an HSA Expense? Understanding Health Savings Accounts

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but many people are unsure about what is considered an eligible expense.

When it comes to drug tests, the answer is: it depends. In most cases, drug tests are considered an eligible HSA expense if they are prescribed by a healthcare provider to diagnose or treat a medical condition.

Here are some key points to consider:

  • Drug tests ordered by a healthcare provider for medical reasons are typically HSA-eligible.
  • Drug tests for employment or legal purposes are generally not considered eligible HSA expenses.
  • It's always best to check with your HSA administrator or refer to the IRS guidelines to determine if a specific expense is eligible.

Ultimately, the purpose of the drug test will determine whether it is an eligible HSA expense. If in doubt, consult with your healthcare provider or HSA administrator for clarification.


Health Savings Accounts (HSAs) are incredibly useful for those looking to manage their healthcare expenses effectively, but many individuals find themselves grappling with the details of what qualifies as an eligible expense. One of the gray areas is drug testing.

The eligibility of drug tests for HSA spending hinges on the context in which they are conducted. If a healthcare provider prescribes a drug test to diagnose or treat a medical condition, it will typically qualify as an eligible expense.

It's important to note the differences in circumstances:

  • Tests recommended by medical professionals for genuine health concerns usually fit within HSA eligibility.
  • However, drug tests mandated for employment or legal reasons typically do not qualify as HSA expenses.
  • If you're unsure, always consult with your HSA administrator or refer to the latest IRS guidelines to see if a particular expense qualifies.

In conclusion, the reason behind a drug test largely dictates its eligibility for HSA spending. When in doubt, don't hesitate to ask your healthcare provider or reach out to your HSA administrator for clarity.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter