What Can I Pay with an HSA? - A Comprehensive Guide to HSA Expenses

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but many people are unsure of what they can actually pay for using these accounts. An HSA allows you to save money on a pre-tax basis and use it to pay for qualified medical expenses. Let's delve into the various expenses that can be paid with an HSA:

Medical Expenses: This includes a wide range of healthcare services, treatments, and products that are deemed medically necessary. Some examples include:

  • Doctor visits
  • Prescription medications
  • Hospital stays
  • Laboratory fees

Dental Care: HSA funds can be used to pay for various dental expenses, such as:

  • Teeth cleanings
  • Fillings
  • Orthodontics
  • Dental surgery

Eye Care: You can use your HSA to cover eye care costs, including:

  • Eye exams
  • Prescription glasses
  • Contact lenses

Medical Equipment: HSA funds are also applicable for purchasing medical equipment like:

  • Wheelchairs
  • Crutches
  • Blood pressure monitors

Remember, it's crucial to keep your receipts and documentation for all HSA expenses to prove that they are eligible. Non-qualified expenses may incur taxes and penalties, so it's essential to know what you can and cannot use your HSA for.


Health Savings Accounts (HSAs) provide an excellent opportunity for individuals to manage healthcare expenses efficiently while enjoying tax benefits. With an HSA, you can not only save on pre-tax dollars but also use those funds for a wide range of qualified medical expenses. It’s crucial to understand what these expenses are, so you can maximize the benefits of your HSA.

Medical Expenses: This spans many categories of healthcare services that are deemed medically necessary. Examples include:

  • Regular check-ups with doctors
  • Prescription medications that are vital for your health
  • Extended stays in hospitals for treatments
  • Laboratory tests or screenings necessary for diagnosis

Dental Care: Your HSA can also be utilized for various dental treatments. These may include:

  • Routine teeth cleanings to maintain oral health
  • Fillings for cavities and tooth restoration
  • Orthodontic treatments such as braces
  • Surgical procedures required for dental issues

Eye Care: Eye-related expenses are also eligible for HSA payments, covering costs like:

  • Comprehensive eye exams by an optometrist
  • Prescription glasses to improve vision
  • Contact lenses, including solution and cleaning products

Medical Equipment: Additionally, HSA funds can be diverted to acquire necessary medical equipment like:

  • Mobility aids such as wheelchairs
  • Assistive devices like crutches
  • Home monitoring devices such as blood pressure cuffs

In summary, it’s vital to maintain all receipts and relevant documentation for each HSA transaction, ensuring each purchase aligns with IRS guidelines. Using HSA funds for non-qualifying expenses may lead to unexpected taxes and penalties, so educate yourself on what’s eligible.

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