What Can I Spend My Fidelity HSA On? - Understand Your HSA Spending Options

When it comes to your Fidelity Health Savings Account (HSA), you might wonder what expenses are eligible for payment. Understanding what you can spend your Fidelity HSA on can help you maximize the benefits of this tax-advantaged account. Here's a comprehensive guide to help you navigate your HSA spending:

Eligible Expenses:

With a Fidelity HSA, you can use your funds to pay for qualified medical expenses. These expenses include:

  • Doctor's appointments
  • Prescription medications
  • Dental and vision care
  • Medical procedures
  • Hearing aids

Non-Eligible Expenses:

It's essential to note that not all expenses are eligible for payment using your Fidelity HSA. Some examples of non-eligible expenses include:

  • Over-the-counter medications without a prescription
  • Cosmetic procedures
  • Health club dues
  • Non-prescription eyeglasses or sunglasses
  • Medical expenses incurred before opening your HSA

Additional Ways to Use Your HSA Funds:

Aside from medical expenses, your Fidelity HSA funds can also be used for:

  • Long-term care insurance premiums
  • Certain COBRA premiums
  • Medicare premiums (excluding Medigap)
  • Some expenses related to a qualifying disability

Having a clear understanding of what you can spend your Fidelity HSA on can help you make informed decisions about your healthcare expenses. Make sure to keep track of your expenses and save your receipts for documentation.


When considering your Fidelity Health Savings Account (HSA), clarity on eligible expenses is crucial for managing your health care dollars. Besides the standard eligible expenses like doctor's appointments and prescription medications, you might be surprised at the breadth of what qualifies, including things like acupuncture and mental health treatments.

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