What is HSA or FSA Eligible? A Comprehensive Guide

Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are two popular ways to save money for medical expenses while enjoying tax benefits. Understanding what items are eligible under these accounts is crucial to maximizing their benefits.

Here's a comprehensive guide to what is considered HSA or FSA eligible:

Eligible Healthcare Expenses

Both HSAs and FSAs cover a wide range of medical and healthcare expenses, including:

  • Doctor's visits and co-pays
  • Prescription medications
  • Dental and vision care
  • Mental health services
  • First aid supplies
  • Medical equipment and supplies
  • Laboratory fees

Additional Eligible Items

In addition to common healthcare expenses, HSAs and FSAs may also cover:

  • Acupuncture
  • Chiropractic care
  • Smoking cessation programs
  • Sunscreen with SPF 30+
  • Weight loss programs for certain medical conditions

Non-Eligible Items

It's essential to be aware of items that are not considered HSA or FSA eligible, such as:

  • Cosmetic procedures
  • OTC medications without a prescription
  • Health club dues
  • Elective procedures
  • General health supplements

Be sure to check with your plan administrator or refer to the IRS guidelines for a complete list of eligible and non-eligible expenses.


Health Savings Accounts (HSAs) and Flexible Spending Accounts (FSAs) are smart financial tools used to manage healthcare costs while enjoying valuable tax perks. Understanding their eligibility criteria is key to getting the most out of these accounts.

This guide will dive deeper into what qualifies as HSA or FSA eligible, enhancing your healthcare savings.

Eligible Healthcare Expenses

From doctor visits to essential medical supplies, HSAs and FSAs can help cover numerous healthcare expenses, including:

  • Doctor's visits and co-pays
  • Prescription medications
  • Dental and vision care
  • Mental health services
  • First aid supplies
  • Medical equipment and supplies
  • Laboratory fees and diagnostic tests

Additional Eligible Items

You might be surprised at the range of additional items covered, helping you tackle various health concerns:

  • Acupuncture treatments for pain relief
  • Chiropractic services for spinal adjustments
  • Smoking cessation programs to kick the habit
  • Sunscreen with SPF 30+ to protect against skin damage
  • Weight loss programs prescribed for specific medical conditions

Non-Eligible Items

It's equally important to recognize what isn’t covered to avoid unexpected out-of-pocket expenses:

  • Cosmetic procedures that improve appearance but not health
  • Over-the-counter medications without a valid prescription
  • Health club dues that are non-medical in nature
  • Elective procedures that are not medically necessary
  • General health supplements that lack a therapeutic purpose

Remember to consult your plan administrator for detailed specifics or visit the IRS guidelines for a comprehensive list of eligible and non-eligible expenses.

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