What Expenses are Eligible from My HSA?

If you have a Health Savings Account (HSA), you may be wondering what expenses qualify for tax-free withdrawals. Understanding what expenses are eligible from your HSA can help you make the most of this valuable savings tool. Here is a breakdown of some common eligible expenses:

  • Prescription medications
  • Doctor's visits and co-pays
  • Dental treatments
  • Eye care expenses, including glasses and contact lenses
  • Chiropractic care
  • Mental health counseling
  • Physical therapy
  • Medical equipment such as crutches or wheelchairs
  • Smoking cessation programs

It's important to keep in mind that not all medical expenses are eligible for HSA funds. Here are some expenses that are not typically covered:

  • Cosmetic procedures
  • Over-the-counter medications (without a prescription)
  • Health club dues
  • Elective surgeries
  • Insurance premiums

Remember to keep receipts and documentation for all HSA withdrawals in case of an audit. Using your HSA for eligible expenses can help you save money on healthcare costs while also saving for the future. If you have any questions about specific expenses, it's always a good idea to consult with a tax advisor or financial planner.


If you're using a Health Savings Account (HSA), it's essential to know the types of expenses that can be covered tax-free. Knowing which expenses qualify can help you maximize the benefits of your HSA. Here’s a comprehensive overview of qualified expenses:

  • Prescription medications that require a doctor's approval.
  • Doctor's visits and co-pays, ensuring you don’t pay out of pocket.
  • Dental treatments, including cleanings, fillings, and orthodontics.
  • Eye care expenses such as glasses, contact lenses, and eye exams.
  • Chiropractic care for spinal adjustments and treatments.
  • Mental health counseling or therapy sessions to support your wellness.
  • Physical therapy, aiding in recovery from injuries or surgeries.
  • Medical equipment like crutches, wheelchairs, or other necessary devices.
  • Smoking cessation programs to help you quit tobacco safely.

However, not every medical expense qualifies. Here are some costs that are usually not eligible:

  • Cosmetic procedures that are not medically necessary.
  • Over-the-counter medications unless prescribed by a healthcare professional.
  • Health club dues and gym memberships.
  • Elective surgeries that are not deemed urgent.
  • Insurance premiums that fall outside the HSA allowances.

It’s advisable to keep all receipts and documentation for your HSA expenses in case of an audit. By utilizing your HSA for eligible expenses, you can effectively save on healthcare costs and build a financial cushion for the future. If you're uncertain about specific expenses, consider consulting a tax advisor or a financial planner.

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