Is it Legal to Pay Medical Expenses from HSA Outside of USA?

Health Savings Accounts (HSAs) have become increasingly popular as a way for individuals to save for medical expenses while enjoying tax benefits. A common question that arises is whether it is legal to use HSA funds to pay for medical expenses outside of the United States. Let's explore this topic further.

Generally, HSA funds can only be used to pay for qualified medical expenses that are incurred in the United States. However, there are some circumstances in which you may be able to use your HSA funds for medical expenses outside of the country. Here are some key points to consider:

  • HSAs follow the IRS guidelines on what is considered a qualified medical expense. If the expense meets these criteria, it is typically eligible for payment using HSA funds.
  • Medical services received outside of the United States may still be eligible if they meet the IRS criteria. This includes things like doctor visits, prescription medications, and certain medical procedures.
  • It is important to keep detailed records and receipts for any medical expenses paid for with HSA funds, especially those incurred overseas, to ensure compliance with IRS regulations.

While using HSA funds for medical expenses outside of the United States is generally allowed under certain conditions, it is recommended to consult with a tax advisor or financial expert to ensure compliance with all regulations.


Many people want to know if they can use their Health Savings Account (HSA) to pay for medical services received abroad. Generally, the IRS allows HSA funds to pay for qualified medical expenses, even if those expenses are incurred outside the United States, provided that the services meet IRS criteria.

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