What Can an HSA Be Spent On? A Complete Guide

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while saving on taxes. One common question that users have is what can be spent using an HSA. Let's delve into the various expenses that you can cover with your HSA funds:

Qualified Medical Expenses:

HSAs can be used to pay for a wide range of medical, dental, and vision expenses for you, your spouse, or dependents. These expenses include:

  • Doctor visits
  • Prescription medications
  • Hospital services
  • Dental treatment
  • Eye exams and glasses

Over-the-Counter (OTC) Medications:

With recent changes in legislation, you can now use your HSA funds to purchase OTC medications without a prescription. This includes items like cold medicine, pain relievers, and first aid supplies.

Long-Term Care Services:

If you require long-term care services due to a chronic illness or disability, HSA funds can be utilized to cover these costs.

COBRA Premiums:

If you lose your job and choose to continue your employer-sponsored health insurance coverage through COBRA, you can pay for the premiums using your HSA.

Medicare Premiums:

Once you reach the age of 65 and enroll in Medicare, you can use your HSA funds to pay for Medicare premiums, including Part B and Part D.

Alternative Therapies:

Expenses for alternative treatments such as acupuncture, chiropractic care, and some holistic medicines can also be covered by your HSA.

Medical Travel Expenses:

If you need to travel for medical treatment, including transportation, lodging, and meals, you can use your HSA funds to pay for these expenses.

Remember, it's essential to keep records and receipts of your HSA expenses to ensure they are qualified and compliant with IRS regulations.


Health Savings Accounts (HSAs) are a fantastic way to manage your healthcare expenditures while enjoying significant tax benefits. With HSAs, you can utilize your funds on various medical expenses tailored to your needs. Let's explore what these funds can cover:

Eligible Expenses for HSA Spending:

  • Regular doctor appointments, along with copay expenses, can be covered directly from your HSA.
  • Prescriptions are not only essential for your health but also qualify as a spendable expense from your HSA.
  • HSAs can be used for all your dental needs, including routine cleanings, fillings, and even orthodontic treatments like braces.
  • Your vision is just as crucial! Use your HSA for eye exams, contact lenses, or stylish glasses.
  • Mental health services are crucial for overall wellbeing and are eligible for coverage under your HSA.
  • Medical equipment needs, like wheelchairs, crutches, and other devices, can also be purchased with HSA funds.

Additional HSA Spending Options:

  • Over-the-counter medications now require a doctor’s prescription to be eligible for HSA reimbursement.
  • Alternative medicine practices such as acupuncture and chiropractic visits can also be covered with your HSA funds.
  • Consider investing in smoking cessation programs to beat the habit; these are often eligible for HSA spending.
  • Struggling with weight loss? There are programs designed for obesity treatment that can be paid for through your HSA.
  • In some cases, health insurance premiums can be covered when you're using your HSA, providing you with even greater flexibility.

Remember to retain all receipts and records for your HSA expenditures; this documentation is crucial for proving that your expenses are qualified medical costs. By wisely using your HSA, you can stretch your dollar further while enjoying tax benefits!

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