Can a Copay be Paid Out of an HSA? Understanding the IRS Guidelines

When it comes to Health Savings Accounts (HSAs), individuals often have questions about what expenses can be paid for using the funds in their account. One common question that arises is whether copayments can be paid out of an HSA.

According to IRS guidelines, copayments can generally be paid out of an HSA as long as they are for qualified medical expenses. However, it's essential to understand the specific rules and regulations surrounding this issue.

Here are some key points to consider:

  • Copayments for doctor's visits, prescription medications, and other eligible medical services are typically considered qualified expenses.
  • If a copay is for a non-eligible service such as cosmetic surgery, it cannot be paid out of an HSA.
  • It's crucial to keep accurate records and receipts for all HSA expenditures, including copayments, to ensure compliance with IRS regulations.
  • Consulting with a tax professional or financial advisor can provide further clarification on what copayments can be paid using HSA funds.

In conclusion, while copayments can generally be paid out of an HSA for qualified medical expenses, it's essential to stay informed about IRS guidelines to avoid any penalties or tax implications.


Understanding how copayments fit into your Health Savings Account (HSA) can significantly impact your financial health. Generally, copayments for necessary, qualified medical services like doctor visits and prescription medications can be covered by your HSA funds.

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