Can I Use My HSA for a Mattress? | Understanding HSA Spending

When it comes to using your Health Savings Account (HSA), there are guidelines and restrictions on what qualifies as a medical expense. One common question that arises is, 'Can I use my HSA for a mattress?'

The short answer is no, you cannot use your HSA funds to purchase a mattress unless it is medically necessary. In order for a mattress to be considered a qualified medical expense, it typically needs to be prescribed by a healthcare provider to treat a specific medical condition such as back pain or a sleep disorder.

While purchasing a regular mattress for general comfort and well-being does not meet the criteria for HSA eligibility, there are exceptions where you may be able to use your HSA funds for bedding or mattresses:

  • If the mattress is specifically designed to address or alleviate a medical condition and is recommended by a healthcare professional.
  • If the mattress is an adjustable bed for a medical condition like sleep apnea or GERD.

It is important to keep detailed records and documentation of the medical necessity and prescription for the mattress if you plan to use your HSA funds for this purpose. Be sure to consult with your healthcare provider or tax advisor to ensure compliance with HSA regulations.


If you've been wondering whether you can use your Health Savings Account (HSA) for a mattress purchase, it's essential to understand the specific criteria that dictate HSA eligible expenses. Generally speaking, a mattress cannot be purchased solely for comfort with HSA funds.

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