What Does HSA Not Cover? Understanding the Limitations of Health Savings Accounts

Health Savings Accounts (HSAs) are a great tool for saving money on medical expenses, but it's important to understand what they do not cover. While HSAs offer many benefits, there are limitations to what they can be used for:

  • Cosmetic procedures: HSAs do not cover elective cosmetic surgeries or procedures.
  • Over-the-counter medications: Most over-the-counter medications are not eligible for HSA reimbursement.
  • Health club memberships: Expenses related to health club memberships are typically not covered by HSAs.
  • Insurance premiums: HSA funds cannot be used to pay for health insurance premiums.
  • Non-medical expenses: HSAs are intended for qualified medical expenses and cannot be used for non-medical purchases.

It's important to be aware of these limitations when using your HSA to avoid any unexpected expenses. While HSAs offer great flexibility and tax advantages, they do have restrictions on what they can be used for.


When considering a Health Savings Account (HSA), it's not only beneficial to understand what expenses it can cover but also crucial to know the exclusions. With HSAs, you will find they do not reimburse the costs associated with cosmetic procedures, such as facelifts or botox. These expenses, while they may enhance your appearance, are not deemed necessary medical treatments.

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