How Does HSA Card Know What Can Be Bought?

When using an HSA (Health Savings Account) card, it may raise the question of how the card determines what can be purchased. An HSA card works similarly to a debit card, but with specific limitations on eligible expenses. Here's how the HSA card knows what can be bought:

1. Merchant Category Codes (MCC):

  • The HSA card system is designed to recognize MCCs assigned to different types of merchants. These codes categorize merchants based on the goods or services they provide.

2. Eligible Expense List:

  • Each HSA provider maintains a list of eligible expenses that can be paid for using the HSA funds. This list helps the card distinguish between qualified medical expenses and non-eligible purchases.

3. Real-Time Validation:

  • When making a purchase using the HSA card, the transaction is validated in real-time by the HSA provider. If the expense falls within the approved categories, the transaction goes through; otherwise, it may be declined.

4. HSA Regulations:

  • HSAs are governed by IRS regulations that specify what qualifies as a medical expense. The HSA card adheres to these regulations and ensures that funds are used for healthcare-related costs only.

Overall, the HSA card leverages technology, predefined criteria, and regulatory guidelines to determine what purchases are permissible, providing users with a seamless way to manage their healthcare expenses.


When you swipe your HSA (Health Savings Account) card, you might wonder how it knows which purchases are acceptable. One key factor is the Merchant Category Codes (MCC) that identify what sellers offer. This allows the HSA card to differentiate between doctor visits and everyday shopping 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