Can an HSA be Used for Third-Party Medical Expenses?

Health Savings Accounts (HSAs) are a valuable tool for individuals looking to save money on medical expenses while also enjoying tax benefits. While HSAs are primarily intended for the account holder's own healthcare costs, there are certain circumstances where an HSA can be used for third-party medical expenses.

Third-party medical expenses refer to medical costs incurred by someone other than the HSA account holder or their dependents. In general, the IRS allows HSA funds to be used for qualified medical expenses for the account holder, their spouse, and their dependents. However, there are some situations where an HSA can be utilized for third-party expenses:

  • If the third party is considered a dependent for tax purposes, their medical expenses can be paid for using HSA funds.
  • If the account holder pays for the medical expenses upfront and is later reimbursed by a third party, they can use HSA funds for the reimbursement.
  • If the third party is not a dependent but receives medical care at the account holder's direction, HSA funds can potentially be used to cover those expenses.

It's important to note that proper documentation and records must be maintained when using HSA funds for third-party medical expenses to ensure compliance with IRS regulations.


Health Savings Accounts (HSAs) serve as a fantastic resource for individuals looking to both benefit from tax advantages and save on their healthcare costs. Although HSAs are designed primarily for the account holder's own medical expenses, there are specific instances where funds can be allocated toward third-party medical expenses.

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