What Expenses Can You Use an HSA for? A Complete Guide

Health Savings Accounts (HSAs) are a versatile tool for managing healthcare expenses. If you have an HSA, you can use it to pay for a wide range of eligible medical expenses. Here are some of the expenses you can use an HSA for:

  • Doctor visits, including specialists
  • Prescription medications
  • Dental care, such as cleanings and fillings
  • Eye exams, glasses, and contact lenses
  • Mental health services, like therapy sessions
  • Chiropractic care
  • Medical equipment, such as crutches or wheelchairs
  • Laboratory fees for tests
  • Hearing aids and batteries
  • Smoking cessation programs

It's important to note that not all medical expenses are eligible for HSA funds. Cosmetic procedures, over-the-counter medications (without a prescription), and health club dues, for example, are not considered qualifying expenses.

When using your HSA for eligible expenses, keep records and receipts to show that the withdrawals were used for qualified medical costs. This documentation is essential for tax purposes and ensures you are using your HSA funds appropriately.


Health Savings Accounts (HSAs) offer a fantastic way to set aside money for medical expenses while reaping tax benefits. With an HSA, you can cover a wide range of healthcare costs, giving you more flexibility and peace of mind when it comes to managing your health.

Wondering what expenses you can cover? Here's a list of eligible HSA expenses:

  • Routine doctor visits and specialty treatments
  • Prescription medications and some over-the-counter items, with a prescription
  • Comprehensive dental services, from cleanings to orthodontics
  • Vision care, including eye exams, contact lenses, and glasses
  • Various therapy services, like psychotherapy or massage therapy
  • Purchases of medical equipment, such as crutches or blood pressure monitors
  • Long-term care services that are deemed medically necessary
  • And much, much more!

Before tapping into those funds, however, it's wise to confirm the eligibility of your expenses with your HSA provider or refer to IRS guidelines.

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