What is Covered by HSA IRS - Understanding HSA Eligible Expenses

Many people wonder what expenses are covered by HSA IRS. Health Savings Accounts (HSAs) are a great way to save for medical expenses, but understanding what is eligible can be confusing. The IRS sets guidelines on what can be paid for using HSA funds, and it's important to know these to avoid any penalties.

HSAs can be used to pay for a wide range of medical expenses, including:

  • Doctor visits and co-pays
  • Prescription medications
  • Dental and vision care
  • Laboratory fees
  • Medical equipment like crutches or wheelchairs
  • Mental health services

However, there are some expenses that are not covered by HSA IRS, such as:

  • Cosmetic procedures
  • Over-the-counter medications without a prescription
  • Health club memberships
  • Funeral expenses
  • Non-prescription health supplements

It's important to keep receipts and documentation for all HSA expenses in case of an audit. If you use HSA funds for non-qualified expenses, you may have to pay income tax on the amount withdrawn, as well as a 20% penalty.


Many individuals are curious about what is encompassed within HSA IRS guidelines. Health Savings Accounts (HSAs) offer an excellent method of saving for your medical expenses, yet deciphering which expenses qualify can often be a daunting task. The IRS provides specific criteria regarding the expenditure of HSA funds that individuals need to understand to steer clear of any penalties.

HSAs empower you to pay for a diverse array of medical costs, such as:

  • Doctor visits and their respective co-pays
  • Prescriptions and medications
  • Dental treatments and vision care
  • Lab testing fees
  • Medical devices, including crutches, wheelchairs, and more
  • Therapeutic services, such as mental health treatment

On the flip side, certain expenses are not covered by HSA IRS rules, including:

  • Cosmetic surgeries or procedures
  • Over-the-counter drugs without a valid prescription
  • Gyms or health club memberships
  • Expenses related to funerals
  • Health supplements that are not prescribed

For anyone utilizing their HSA, it is imperative to maintain thorough records and receipts for all transactions involving HSA funds, particularly in the event of an audit. If any funds are mistakenly applied to non-eligible expenses, you may incur income tax as well as a hefty 20% penalty on the withdrawn amount.

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