HSA Shop logoHSA Shop

HSA Guide

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

Published September 29, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: Yes—you can use an HSA to pay for qualified medical expenses incurred outside the United States, provided they meet IRS criteria.

Using an HSA abroad: direct answer

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.

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.

Key considerations for HSA payments overseas

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.

Importance of IRS compliance for overseas costs

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.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles