What If I Use My HSA to Order Pizza? - HSA Awareness and Guidelines

When it comes to using your HSA, it's important to understand what is considered eligible expenses and what is not. So, can you use your HSA to order pizza? The short answer is, it depends.

Here are some key points to consider:

  • Health Savings Accounts (HSAs) are a tax-advantaged way to save and pay for qualified medical expenses.
  • IRS Publication 502 outlines eligible medical expenses, and unfortunately, pizza is not on the list.
  • However, there are exceptions. If the pizza is for a specific medical condition or dietary need prescribed by a healthcare provider, it might be considered an eligible expense.
  • It's crucial to keep detailed records and receipts to justify the expense in case of an IRS audit.

Ultimately, while using your HSA for pizza may not be the norm, there are specific circumstances where it could be a valid expense. It's best to consult with a tax professional or financial advisor to ensure compliance with IRS guidelines.


When considering the use of your HSA for food-related expenses like pizza, it's vital to clarify what qualifies as an eligible expenditure.

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