HSA Shop logoHSA Shop

HSA Guide

What Can and Cannot Buy with Your HSA Funds?

Published July 19, 2024

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: You can use HSA funds for IRS-eligible medical expenses, but not for ineligible items such as cosmetic procedures, gym memberships, non-prescription vitamins, non-medically necessary personal care, or health insurance premiums.

Overview of eligible HSA purchases

Have you been wondering what you can and cannot purchase with your Health Savings Account (HSA) funds? Let's delve into the dos and don'ts of using your HSA money for various expenses.

When it comes to utilizing your HSA funds, the IRS has set guidelines on what expenses are considered eligible for reimbursement. Here's a breakdown of what you can use your HSA funds for:

  • Medical care, including doctor's visits, prescriptions, and medical procedures
  • Dental and vision care, such as eyeglasses, contact lenses, and orthodontia
  • Mental health services, including therapy and counseling sessions
  • Over-the-counter medications with a doctor's prescription
  • Medical equipment like crutches, wheelchairs, and blood sugar monitors

However, there are certain items that you cannot buy with your HSA funds. Some examples of ineligible expenses include:

Ineligible items and avoiding penalties

  • Cosmetic procedures like teeth whitening or plastic surgery
  • Health club dues or gym memberships
  • Non-prescription items like vitamins and supplements
  • Medications for general health and wellbeing
  • Insurance premiums

It's essential to be aware of these restrictions to avoid any tax penalties or disqualification of your HSA account. Always keep proper documentation of your expenses and consult with a tax advisor if you are unsure about the eligibility of a particular purchase.

Curious about how to effectively use your Health Savings Account (HSA) funds? Understanding what you can and cannot purchase is essential for maximizing your HSA benefits.

The IRS provides clear guidelines that outline eligible expenses. Here's a broader look at the kinds of expenses that you can cover with your HSA:

Eligible versus non-qualifying expenses

  • Essential medical services like doctor's visits and hospital stays.
  • Prescription medications that require a doctor's approval.
  • Preventive care, including vaccinations and annual check-ups.
  • Dental treatments, from routine cleanings to more complex procedures like braces.
  • Vision-related goods, such as contact lenses, glasses, and even LASIK surgery.

Along with eligible expenses, it's crucial to know what you can’t use your HSA for to avoid complications. Some non-qualifying purchases include:

  • Beauty treatment expenses like facelifts and cosmetic surgeries.
  • Fitness club memberships that are primarily for wellness, rather than for a specific medical condition.
  • Non-essential supplements and vitamins without a prescription.
  • Cosmetics and personal care items that are not medically necessary.
  • Premiums for health insurance plans.

Being informed can save you from costly mistakes, so always keep receipts and consult with a healthcare or financial professional to ensure everything is above board.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles