Can I Use My HSA to Buy a Mattress? Understanding HSA Rules and Eligible Expenses

If you're wondering whether you can use your HSA to buy a mattress, the answer may depend on your situation and the specific rules set by the IRS. Health Savings Accounts (HSAs) are excellent tools for saving money on qualified medical expenses while enjoying tax benefits.

Here are some key points to consider:

  • HSAs are designed to help you save for medical expenses not covered by insurance.
  • Generally, you can use your HSA to pay for qualified medical expenses, which may include doctor's visits, prescriptions, and certain medical supplies.
  • Mattresses are typically not considered eligible medical expenses unless they are specifically prescribed by a healthcare provider to treat a medical condition like back pain.
  • It's essential to keep detailed records and receipts for all HSA expenses to ensure compliance with IRS regulations.

While buying a mattress for general comfort and well-being may not qualify as a medical expense, there are some instances where it could be eligible if deemed medically necessary. Consulting with a tax professional or your HSA provider can offer more insights into your specific situation.


Many people ask if they can purchase a mattress using their Health Savings Account (HSA). While HSAs are fantastic for paying for out-of-pocket medical expenses and providing tax advantages, whether a mattress qualifies depends on specific circumstances.

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