What Items are Eligible for HSA? - A Comprehensive Guide

If you have a Health Savings Account (HSA), you may wonder what items are eligible for HSA funds. It's important to know what you can use your HSA for to make the most of this valuable healthcare tool.

Here are some common items that are eligible for HSA:

  • Prescription medications
  • Doctor's visits and co-pays
  • Medical equipment like wheelchairs or crutches
  • Dental expenses such as cleanings and fillings
  • Eye care including exams, glasses, and contact lenses
  • Mental health counseling and therapy
  • Chiropractic care

It's important to note that not all medical expenses are eligible for HSA funds. To be considered eligible, the expense must be for the diagnosis, cure, mitigation, treatment, or prevention of disease.

Some items that are not typically eligible for HSA funds include:

  • Over-the-counter medications (without a prescription)
  • Cosmetic procedures
  • Health club dues
  • Non-prescription nicotine gum or patches
  • Medical expenses for non-dependent relatives

When using your HSA funds, it's always a good idea to keep receipts and documentation in case of an audit.

Remember, using your HSA funds for non-eligible expenses may result in tax penalties. Be sure to check with your HSA provider or tax advisor if you have any questions about what items are eligible for HSA.


If you have a Health Savings Account (HSA), understanding what items are eligible for HSA funds can help you maximize your savings and healthcare budget. Eligible expenses are those that directly relate to medical care and must aim to diagnose, cure, mitigate, treat, or prevent diseases.

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