HSA Shop logoHSA Shop

HSA Guide

How Do American HSAs Work for Health Care Costs Abroad?

Published July 9, 2023

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: You can use your HSA for qualified health care costs abroad by ensuring expenses are IRS-qualified, keeping receipts, paying via HSA funds, and accounting for exchange rates.

Using HSAs for overseas medical care

Health Savings Accounts (HSAs) are a valuable tool for covering medical expenses, even when you're abroad. If you're an American with an HSA and you need medical care outside the U.S., here's how it can work for you:

Key rules for HSA spending abroad

When using your HSA for health care costs abroad, it's essential to keep in mind the following:

  • Check if the medical expense is qualified: Ensure that the service or treatment you receive overseas is an eligible expense under IRS guidelines for HSA funds.
  • Keep all receipts: Just like domestic expenses, you should retain documentation of your foreign medical costs to report them correctly.
  • Pay out of your HSA funds: You can use your HSA debit card or pay upfront and reimburse yourself from the account later.
  • Exchange rates may apply: Be aware that currency conversions may impact the amount you spend from your HSA for international care.

Benefits of using an HSA abroad

Using your HSA for health care costs abroad can give you peace of mind knowing that you have a financial safety net in place, no matter where you are in the world. It's essential to stay informed about the regulations and guidelines to make the most of your HSA while abroad.

Health Savings Accounts (HSAs) not only enable you to save for future medical expenses but also provide flexibility when seeking health care internationally. When traveling abroad, it’s vital to understand how your HSA can help mitigate unexpected costs that can arise.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles