What Counts as Medical Expenses for HSA? - A Comprehensive Guide

When it comes to Health Savings Accounts (HSAs), knowing what qualifies as a medical expense can help you make the most of your healthcare savings. Eligible medical expenses for HSA funds cover a wide range of healthcare services and products that are essential for maintaining your well-being.

Here are some common medical expenses that qualify for HSA reimbursement:

  • Doctor's visits, including specialists, and dental and eye care
  • Prescription medications and over-the-counter drugs prescribed by a healthcare provider
  • Medical procedures and surgeries
  • Psychiatric care and therapy sessions
  • Medical equipment such as crutches, wheelchairs, and hearing aids
  • Diagnostic tests like X-rays, blood work, and MRIs

It's important to note that not all health expenses are eligible for HSA reimbursement. Non-qualifying expenses include cosmetic procedures, vitamins and supplements (unless prescribed by a healthcare provider), and general health items like gym memberships.

When in doubt, you can refer to the official IRS Publication 502 for a comprehensive list of qualified medical expenses. Keeping track of your medical receipts and records is crucial for ensuring that you use your HSA funds appropriately and in compliance with IRS regulations.


Understanding what counts as medical expenses for your Health Savings Account (HSA) is essential to maximize your savings and ensure you spend your hard-earned money wisely on necessary healthcare.

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