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Can You Use an HSA for 23andMe? Exploring HSA Eligibility for Health Services

Published January 16, 2023

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Short answer: You generally can’t use an HSA for 23andMe because genetic testing isn’t typically a qualified medical expense, but it may be eligible if ordered as part of medical care or prevention with a provider recommendation.

What HSAs cover and the core question

Health Savings Accounts (HSAs) are versatile tools that allow individuals to save pre-tax money for qualified medical expenses. One question that often arises is whether you can use an HSA for services like 23andMe. Let's delve into this topic and explore the eligibility of HSAs for health services such as genetic testing.

When 23andMe genetic testing can qualify

23andMe is a direct-to-consumer genetic testing service that provides insights into your ancestry, health predispositions, and carrier status for certain genetic conditions. While genetic testing itself is not typically considered a qualified medical expense under the IRS guidelines for HSA eligibility, there are some scenarios where using an HSA for 23andMe may be possible:

  • If a healthcare provider orders the genetic test as part of a medical treatment plan to diagnose or treat a specific medical condition, the cost of the test may be considered an eligible expense.
  • If the genetic testing is related to preventing a potential health issue based on family history or other risk factors, it may also be considered eligible with a healthcare provider's recommendation.

Why you should verify eligibility

It's essential to consult with a tax advisor or financial expert to determine the HSA eligibility of specific services like 23andMe based on individual circumstances. While genetic testing for ancestry or lifestyle purposes may not typically be covered by an HSA, there are instances where it could be deemed a qualified medical expense.

Many people are curious about whether they can utilize their Health Savings Accounts (HSAs) for services such as 23andMe, especially with an increasing interest in personalized medicine and genetic testing. Let's break down the possibilities regarding HSA coverage for these types of health services.

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