What Dependent Medical Expenses Can I Pay with an HSA?

When it comes to using your Health Savings Account (HSA) to cover medical expenses for your dependents, there are specific guidelines to consider. You can use your HSA funds to pay for eligible medical expenses for your dependents, which include:

  • Children under the age of 26
  • Spouse
  • Any other person you claim as a dependent on your tax return

Here are some dependent medical expenses that you can pay with your HSA:

  • Prescription medications for your dependents
  • Medical appointments and co-pays
  • Dental care for your dependents, including cleanings, fillings, and orthodontia
  • Eye care expenses such as eyeglasses, contact lenses, and eye exams

It's important to note that cosmetic procedures, vitamins or supplements not recommended by a healthcare provider, and other non-essential medical expenses are generally not eligible for HSA reimbursement. Make sure to keep records and receipts of all medical expenses paid for with your HSA funds to ensure compliance with IRS regulations.


When using your Health Savings Account (HSA) for medical expenses related to your loved ones, it's crucial to understand the specific guidelines that apply. Fortunately, you can utilize your HSA funds for a variety of eligible medical expenses for your dependents, including:

  • Dependent children under the age of 26
  • Your spouse
  • Anyone else claimed as a dependent on your tax return

Some common medical expenses that can be covered by your HSA for your dependents include:

  • Cost of prescription medications for them
  • Co-pays for doctor visits and medical appointments
  • Dental treatments, such as routine cleanings, fillings, and orthodontic work
  • Eye care necessities, including prescription glasses, contact lenses, and comprehensive eye exams

Bear in mind that expenses like cosmetic surgery, over-the-counter vitamins or supplements without a prescription, and other non-essential medical costs typically aren't eligible for HSA reimbursement. Always retain records and receipts of all HSA-related expenses to ensure you are following IRS guidelines.

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