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What Can You Pay for with Your HSA?

Published June 5, 2024

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Short answer: You can use HSA funds for many medically necessary expenses like prescription medications, doctor’s visits, dental, eye care, chiropractic, physical therapy, and certain medical equipment, but cosmetic procedures, health club dues, and non-prescription drugs without a doctor’s prescription are typically not eligible.

Eligible HSA expenses: common medical costs

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. Many people wonder what expenses can be paid for using their HSA funds. Here are some common items that you can pay for with your HSA:

  • Prescription medications
  • Doctor's visits
  • Dental treatments
  • Eye care, including glasses and contact lenses
  • Chiropractic care
  • Physical therapy
  • Medical equipment, such as crutches or wheelchairs
  • Some over-the-counter medications with a doctor's prescription

Not eligible HSA expenses: typical exclusions

It's important to note that not all expenses are eligible for payment with HSA funds. Here are some items that are not typically covered:

  • Cosmetic procedures
  • Health club dues
  • Non-prescription drugs (without a doctor's prescription)
  • Generally, any items or services that are not considered medically necessary may not be eligible for HSA reimbursement.

Health Savings Accounts (HSAs) offer you an incredible opportunity to save money on healthcare costs while benefiting from tax advantages. Many people might be unsure of what exactly they can use their HSA funds for. Here's a helpful list of common medical expenses you can pay for using your HSA:

  • Prescription medications, which can save you a lot of money over time
  • Routine doctor's visits to keep your health in check
  • Dental treatments, such as cleanings and fillings
  • Eye care, including any necessary contacts or glasses
  • Chiropractic care for those who seek relief from back pain
  • Physical therapy sessions after an injury or surgery
  • Medical equipment like crutches or wheelchairs that may be necessary
  • Some over-the-counter medications, provided you have a doctor's prescription for them

Keep in mind, though, that not every expense qualifies for HSA payment. For instance:

  • Cosmetic procedures, which are often considered elective
  • Health club dues, unless specified for medical reasons
  • Non-prescription drugs, unless they're prescribed by a healthcare professional
  • Basically, any item or service not deemed necessary for your health generally isn't eligible for reimbursement through your HSA.

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