What Can I Charge to My HSA Account?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. But what exactly can you charge to your HSA account? Let's break it down:

Qualified Medical Expenses:

  • Doctor's visits
  • Prescription medications
  • Dental treatments
  • Eye exams and glasses
  • Mental health services

Non-Qualified Expenses:

  • Cosmetic procedures
  • Over-the-counter medications (unless prescribed)
  • Gym memberships
  • Non-medical massages
  • Alternative treatments (like acupuncture)

It's important to keep receipts and documentation for all expenses charged to your HSA to comply with IRS regulations. Remember, using your HSA for non-qualified expenses may incur taxes and penalties.


Health Savings Accounts (HSAs) are an excellent resource for managing your healthcare expenses in a tax-efficient way. Not only do they help you save money for immediate healthcare needs, but they also offer some fantastic tax benefits. The IRS is quite specific about what you can charge to your HSA account. Let's explore further:

Qualified Medical Expenses include essentials such as:

  • Doctor's visits, including specialists
  • Prescription medications and necessary medical supplies
  • Dental treatments, including braces and dentures
  • Routine eye exams and prescription lenses or glasses
  • Mental health services, including therapy sessions

Meanwhile, it's crucial to be aware of Non-Qualified Expenses, which feature items like:

  • Cosmetic procedures that are purely for aesthetic purposes
  • Over-the-counter medications unless a prescription is provided
  • Gym memberships unless prescribed by a doctor
  • Non-medical massages such as those for relaxation
  • Alternative treatments like acupuncture that do not align with medical necessity

Always maintain accurate records of your HSA charges, as the IRS requires proper documentation for compliance. Remember, utilizing funds for non-qualified expenses can lead to tax consequences and penalties that could diminish your savings.

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