What Can Be Purchased with an HSA? - A Guide to HSA Eligible Expenses

When it comes to Health Savings Accounts (HSAs), many people wonder what expenses can be covered using these funds. HSAs are a valuable tool for managing healthcare costs, allowing individuals to save pre-tax dollars for medical expenses. Here's a guide to what can be purchased with an HSA:

Eligible Expenses:

  • Prescription medications
  • Doctor's visits
  • Hospital stays
  • Dental and vision care
  • Medical equipment (e.g., crutches, wheelchairs)
  • Mental health counseling

Additionally, there are some less common but still eligible expenses that can be paid for with HSA funds:

  • Acupuncture
  • Long-term care services
  • Laser eye surgery

It's important to note that not all medical expenses are eligible for HSA spending. Some expenses that are not covered include:

  • Over-the-counter medications (without a prescription)
  • Cosmetic procedures
  • Health club dues
  • Non-prescription eyeglasses or contacts

Before making a purchase with your HSA funds, always check the IRS guidelines to ensure the expense is eligible.


When utilizing a Health Savings Account (HSA), it's beneficial to understand the range of qualified expenses covered. HSAs not only help individuals save pre-tax dollars for medical costs but also empower them to take charge of their healthcare spending. Here’s an overview of what you can purchase using your HSA funds:

Eligible Expenses:

  • Prescription medications
  • Routine doctor's visits
  • Hospital stays and surgeries
  • Dental care including cleanings and fillings
  • Vision care such as eye exams and contact lenses
  • Medical equipment like crutches, wheelchairs, or hearing aids
  • Mental health treatments like therapy and counseling

Additionally, there are some unique yet valuable services that you can fund with HSA accounts:

  • Acupuncture sessions
  • Long-term care facilities or services
  • Laser eye surgeries

However, it's crucial to be aware that certain expenses do not qualify for HSA reimbursements. These include:

  • Over-the-counter medications without a doctor’s prescription
  • Cosmetic surgeries or procedures for aesthetic purposes
  • Health club memberships or fitness classes
  • Eyewear like non-prescription glasses or sunglasses

Always verify with IRS guidelines before you spend your HSA funds to ensure your expenses are eligible.

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