Understanding what is and is not covered under FSA and HSA

Health savings accounts (HSAs) and flexible spending accounts (FSAs) are popular ways for individuals to save money tax-free for medical expenses. While both accounts offer tax advantages, it's essential to understand what is and is not covered under each plan.

Here's a breakdown of what you can expect to be covered under FSA and HSA:

What is Covered:

  • Prescription medications
  • Doctor's office visits
  • Medical procedures
  • Dental treatments
  • Orthodontia
  • Eye exams and glasses or contacts

What is Not Covered:

  • Over-the-counter medications without a prescription*
  • Health club memberships
  • Cosmetic procedures
  • Elective surgeries
  • Non-prescription eyewear
  • Non-prescription orthopedic shoes

*Note: Over-the-counter medications may be reimbursable under an FSA with a doctor's prescription.


Health savings accounts (HSAs) and flexible spending accounts (FSAs) are invaluable financial tools that allow you to set aside pre-tax dollars for qualified medical expenses, effectively maximizing your savings. Understanding coverage options is crucial for reaping the full benefits of these accounts.

Here’s a detailed overview of what expenses can be covered under FSAs and HSAs:

What is Covered:

  • Prescription medications, allowing you to afford essential drugs without breaking the bank.
  • Doctor's office visits, ensuring you have the financial support for routine health check-ups.
  • Medical procedures, encompassing surgeries and treatments that may otherwise be financially burdensome.
  • Dental treatments, including cleanings and fillings, which contribute to maintaining overall health.
  • Orthodontia, recognizing the importance of dental alignment in achieving a healthy smile.
  • Eye exams and glasses or contacts, helping you to see the world clearly without financial worries.

What is Not Covered:

  • Over-the-counter medications without a prescription*, which may catch many off guard.
  • Health club memberships, reminding us that while fitness is crucial, the costs aren’t covered.
  • Cosmetic procedures, illustrating the line between medical necessity and aesthetic preference.
  • Elective surgeries, which are typically not deemed urgent.
  • Non-prescription eyewear, meaning you may need to budget for those stylish frames separately.
  • Non-prescription orthopedic shoes, a factor to remember when purchasing foot support.

*Note: Over-the-counter medications may be reimbursable under an FSA with a doctor's prescription, so always check with your plan.

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