Can I Use My HSA to Pay Medical Expenses Outside the United States?

If you have a Health Savings Account (HSA), you may wonder if you can use it to pay for medical expenses incurred outside the United States. The answer is yes, but with some considerations.

When using your HSA to cover medical costs abroad, here are a few points to keep in mind:

  • Make sure the services or treatments you receive are considered qualified medical expenses according to the IRS guidelines.
  • Retain documentation such as receipts and invoices to validate that the expenses are indeed for medical care.
  • Check if the medical provider or facility accepts HSA payments; some may not be equipped to process them.
  • Be aware of any additional fees or currency conversion rates that may apply when using your HSA abroad.

Overall, using your HSA for medical expenses outside the U.S. is possible, but it's crucial to ensure compliance with the IRS rules and regulations.


Yes, you can use your Health Savings Account (HSA) to pay for medical expenses incurred outside the United States, as long as those expenses meet the IRS criteria for qualified medical costs.

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