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Can I Pay a Nanny Using HSA?

Published June 19, 2022

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Short answer: Yes—you can pay a nanny with HSA funds if the nanny provides medical care services to you, your spouse, or dependents, and you keep detailed records.

When a nanny qualifies for HSA payment

Many people wonder if they can use their HSA (Health Savings Account) funds to pay a nanny. The short answer is yes, you can pay a nanny using your HSA, but there are certain criteria that need to be met.

First and foremost, the nanny must provide medical care services to either you, your spouse, or your dependents. This means that if the nanny is providing medical services such as nursing or physical therapy, you can use your HSA funds to compensate them.

However, if the nanny is only providing general childcare services without any medical aspect involved, you cannot use your HSA to pay them.

Recordkeeping and compliance requirements for IRS

It's essential to keep detailed records of the services provided by the nanny and the payments made using your HSA funds to ensure compliance with IRS regulations. This will help you avoid any potential issues during tax season.

Are you considering using your HSA (Health Savings Account) to pay a nanny? The answer is nuanced but doable, provided certain conditions are met.

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