Can You Include Sales Tax in HSA Reimbursements?

When it comes to reimbursing expenses using your Health Savings Account (HSA), many people wonder if sales tax can be included in those reimbursements. The answer is both straightforward and can vary depending on the situation.

Sales tax can be included in your HSA reimbursements as long as the expense itself is considered a qualified medical expense under IRS guidelines. This means that if the item or service you purchased is eligible for reimbursement through your HSA, the sales tax incurred in the transaction can also be reimbursed.

However, it's important to keep in mind a few key points when it comes to including sales tax in your HSA reimbursements:

  • Ensure that the expense is a qualified medical expense as defined by the IRS.
  • Keep detailed records and receipts of the transaction, clearly showing the amount of sales tax paid.
  • Double-check with your HSA provider or financial advisor to confirm their specific guidelines on including sales tax in reimbursements.

By following these guidelines and keeping accurate records, you can confidently include sales tax in your HSA reimbursements when applicable, making the most of your HSA funds for eligible medical expenses.


If you've ever wondered whether you can fold sales tax into your HSA reimbursements, you're not alone! This is a common question among HSA users. The bottom line is yes, you absolutely can include the sales tax as long as you're claiming a qualified medical expense according to IRS criteria. So, if you purchased a prescription, for example, and paid sales tax on it, that tax can be reimbursed through your HSA.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter