Can the Same Amounts Be Included in HSA and Schedule A Medical Expenses?

Health Savings Accounts (HSAs) have become a popular way for individuals to save money for medical expenses while enjoying tax advantages. One common question that arises is whether the same amounts can be included in both an HSA and Schedule A for medical expenses deduction.

First and foremost, it's essential to understand the differences between an HSA and Schedule A medical expenses deduction:

  • HSA: Contributions to an HSA are made with pre-tax dollars, grow tax-free, and withdrawals for qualified medical expenses are also tax-free.
  • Schedule A Medical Expenses Deduction: This deduction allows you to itemize your medical expenses on your tax return, and you can deduct the amount that exceeds a certain percentage of your adjusted gross income.

Now, to answer the question - no, you cannot include the same amounts in both an HSA and Schedule A medical expenses deduction. Here's why:

  • Any expenses paid for with HSA funds are considered already tax-deductible, so you cannot double-dip by claiming them again on Schedule A.
  • On the flip side, if you have medical expenses that were not paid for with HSA funds, you can include those amounts on Schedule A for a potential deduction.

It is crucial to keep accurate records of your medical expenses and HSA transactions to ensure compliance with IRS guidelines and maximize your tax benefits.


When managing your healthcare finances, it's crucial to know the nuances between HSAs and Schedule A deductions. Understanding that HSA funds cannot be claimed again on Schedule A helps you avoid confusion and ensures you're maximizing your savings without potential pitfalls.

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