Does HSA Cover Plastic Surgery? Exploring HSA Eligibility for Cosmetic Procedures

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but what about plastic surgery? The short answer is: it depends. While HSAs are designed to cover qualified medical expenses, including many common treatments and procedures, the rules around cosmetic surgery can be a bit more complex.

When it comes to plastic surgery, HSA coverage is typically determined by whether the procedure is deemed medically necessary or purely cosmetic. Here are some key points to consider:

  • Medically Necessary Procedures: If a plastic surgery procedure is necessary to correct a medical condition or injury, such as reconstructive surgery after a mastectomy or to repair a deviated septum, it may be considered an eligible expense under an HSA.
  • Cosmetic Procedures: On the other hand, purely cosmetic procedures that are not medically necessary, such as facelifts or breast augmentation for aesthetic reasons, are generally not covered by an HSA.
  • IRS Guidelines: The IRS sets the guidelines for HSA eligibility, and any expenses claimed must meet their criteria. Cosmetic procedures for purely aesthetic reasons are not considered eligible expenses.
  • Consult Your Healthcare Provider: It's always a good idea to consult with your healthcare provider and HSA administrator to determine if a specific plastic surgery procedure is eligible for coverage under your HSA.

While plastic surgery may not always be covered by an HSA, there are many other eligible expenses that these accounts can help you save on. From doctor's visits and prescription medications to dental care and vision expenses, HSAs offer a wide range of benefits for managing your healthcare costs.

So, if you're considering plastic surgery and wondering if it's covered by your HSA, be sure to do your research and reach out to your healthcare provider for guidance on what is and isn't eligible for reimbursement.


When it comes to Health Savings Accounts (HSAs), understanding what expenses qualify for coverage can be crucial, especially when considering plastic surgery. It’s important to remember that while HSAs can alleviate many healthcare costs, not every type of procedure is eligible.

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