Does HSA Cover Shipping? What You Need to Know about Shipping Coverage with HSA

Many people often wonder whether their Health Savings Account (HSA) covers shipping costs for healthcare-related items. The answer to this question is both straightforward and complex, as it depends on several factors.

First and foremost, it's essential to understand that HSAs are designed to help individuals save money for qualified medical expenses. While shipping costs for eligible items can be covered, there are specific guidelines to follow:

  • Prescription Medications: Shipping costs for prescription drugs are typically covered by HSAs if the medication itself is considered eligible.
  • Medical Supplies: If you need to order medical supplies such as diabetic testing strips or insulin pens, the shipping costs may be reimbursable.
  • Durable Medical Equipment: The shipping fees for DME like wheelchairs or walkers are generally eligible for coverage.

However, there are instances where shipping expenses may not be covered by your HSA:

  • Non-Qualified Items: If you purchase non-qualified items with your HSA funds, the associated shipping fees won't be reimbursed.
  • Overseas Shipping: Shipping costs for items purchased from international suppliers are usually not eligible for reimbursement.

It's crucial to keep detailed records of your expenses and ensure that the shipping charges are directly related to eligible medical purchases. By staying informed and compliant with the regulations, you can make the most of your HSA benefits.


When considering Health Savings Accounts (HSAs), many individuals are curious about whether their accounts cover shipping costs associated with healthcare items, and the answer can be nuanced.

HSAs primarily exist to allow you to save money for qualified medical expenses, and there are certain circumstances under which shipping costs may fall under that umbrella:

  • Prescription Medications: Typically, shipping charges for prescription medications are covered by HSAs, provided the medication itself qualifies as an eligible expense.
  • Medical Supplies: Shipping fees for necessary medical supplies, such as diabetic testing strips or insulin pens, can often be reimbursed.
  • Durable Medical Equipment: Generally, HSAs will cover shipping fees for durable medical equipment (DME) like wheelchairs or knee braces.

However, it's critical to note that not all shipping costs are eligible:

  • Non-Qualified Items: Any shipping costs associated with non-qualified purchases cannot be reimbursed.
  • Overseas Purchases: If you buy goods from international vendors, the shipping fees typically do not qualify for HSA reimbursement.

To maximize the benefits of your HSA, keep thorough records and ensure that any shipping costs are directly tied to eligible medical expenses.

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