Can You Pay for Medical Expenses in an HSA Outside the U.S.?

Health Savings Accounts (HSAs) are a great way to save for medical expenses in the United States, but what about using them abroad? Many people wonder if they can use their HSA funds to pay for medical expenses outside the U.S. The short answer is yes, you can use your HSA to pay for qualified medical expenses incurred outside the country. However, there are some important things to keep in mind when using your HSA for international medical expenses.

First, it's crucial to ensure that the medical expenses you're paying for are considered qualified according to the IRS guidelines. This means that the expenses must be for the diagnosis, cure, mitigation, treatment, or prevention of disease, as well as for treatments affecting any part or function of the body. Examples of qualifying medical expenses include doctor visits, prescription medications, medical procedures, and more.

When using your HSA for international medical expenses, keep in mind the following:

  • Check if the medical expense is IRS-qualified
  • Save all receipts and documentation for the expenses
  • Pay for the expenses using your HSA debit card or reimbursement
  • Remember that non-qualified expenses may incur taxes and penalties

While you can use your HSA to pay for medical expenses outside the U.S., it's essential to be mindful of any tax implications or penalties that may arise from non-qualified expenses. By following the IRS guidelines and keeping thorough documentation, you can confidently use your HSA funds for international medical needs.


Absolutely! Health Savings Accounts (HSAs) not only provide a significant tax advantage for medical expenses within the U.S., but they can also be a useful tool for covering medical costs incurred abroad. If you're traveling or living outside the United States, your HSA can help ease the financial burden of necessary healthcare, as long as those expenses meet IRS qualifications.

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