Does HSA Include Sales Tax? What You Need to Know

When it comes to Health Savings Accounts (HSAs), one common question that arises is whether sales tax is included in the expenses that can be covered. An HSA is a tax-advantaged savings account that individuals can use to pay for qualified medical expenses. Understanding what expenses are eligible for HSA reimbursement can help you make the most of this valuable healthcare tool.

While HSAs cover a wide range of medical expenses, it's essential to note that sales tax is generally not included in HSA-eligible expenses. This means that if you purchase a medical item or service that includes sales tax, you may not be able to use your HSA funds to cover that portion of the cost.

It's essential to keep receipts and documentation for all HSA expenses to ensure compliance with IRS regulations. If you have any doubts about whether a specific expense is eligible for HSA reimbursement, it's always a good idea to consult with a tax professional or financial advisor.


Many individuals often wonder about the specifics of using their Health Savings Accounts (HSAs), particularly regarding what expenses are covered. One recurring question is about whether sales tax can be included in these expenses. While HSAs offer a flexible way to pay for many qualified medical expenses with pre-tax dollars, it's important to understand that sales tax is typically excluded from reimbursement eligibility.

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