Is Sex Reassignment Surgery Eligible for HSA? A Complete Guide

When it comes to eligible expenses for your HSA (Health Savings Account), it's essential to understand what is covered and what is not. Many people wonder if sex reassignment surgery is eligible for HSA funds. Let's delve into this topic to provide you with a comprehensive guide.


Sex reassignment surgery, also known as gender confirmation surgery, is a medical procedure that some individuals undergo as part of their gender transition. While HSAs are designed to cover a wide range of medical expenses, including surgeries, the eligibility of sex reassignment surgery can vary.


Here are some key points to consider:

  • Sex reassignment surgery may be eligible for HSA funds if it is deemed medically necessary by a healthcare professional.
  • IRS Publication 502 outlines eligible medical expenses, and if the surgery falls under these guidelines, it may be covered.
  • Insurance coverage plays a significant role in determining HSA eligibility for sex reassignment surgery. If your insurance plan covers the procedure, it is more likely to be deemed eligible for HSA reimbursement.
  • It's crucial to keep detailed records of the surgery costs, including receipts and documentation from healthcare providers, to support your HSA reimbursement claim.

Ultimately, the eligibility of sex reassignment surgery for HSA funds depends on various factors, including medical necessity, insurance coverage, and IRS guidelines. It's advisable to consult with a healthcare provider and your insurance company to determine the coverage and reimbursement options available to you.


Yes, sex reassignment surgery can be eligible for HSA funding, particularly when it's supported by a healthcare professional as a medically necessary procedure.

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