What Medical Bills Can You Pay with HSA Funds? - Your Ultimate Guide

If you have a Health Savings Account (HSA), you may wonder what medical expenses you can use your funds for. HSAs are a valuable tool for managing healthcare costs, but knowing what is covered can sometimes be confusing. Here is a comprehensive guide to help you understand what medical bills you can pay with HSA funds:

1. Qualified Medical Expenses: The IRS determines which medical expenses are eligible for HSA payment. Some common examples include:

  • Doctor's visits
  • Prescription medications
  • Hospital stays
  • Laboratory fees
  • Medical equipment

2. Over-the-Counter (OTC) Medications: Recent legislation reinstated the ability to use HSA funds for over-the-counter medications without a prescription.

3. Dental and Vision Care: HSA funds can be used for a wide range of dental and vision expenses, including:

  • Dental cleanings
  • Eyeglasses and contact lenses
  • Lasik surgery
  • Orthodontia

4. Alternative Treatments: Some alternative therapies may also qualify as eligible medical expenses if prescribed by a healthcare provider.

5. COBRA Premiums: If you lose your job and elect to continue your employer-sponsored health insurance through COBRA, you can use HSA funds to pay your premiums.

6. Long-Term Care: HSA funds can be used to cover long-term care services and premiums for long-term care insurance.

Remember, to use your HSA funds for medical expenses, the expense must be considered a qualified medical expense by the IRS. Keep all receipts and documentation for tax purposes.


If you're utilizing a Health Savings Account (HSA), it’s essential to understand which medical expenses are eligible for payment. Not only do HSAs help you manage healthcare costs, but they can also lead to significant savings on your taxes. Here’s an informative breakdown of what you can cover with your HSA funds:

1. Qualified Medical Expenses: According to the IRS, there is a variety of medical costs you can pay for with your HSA. This can include:

  • Doctor's visits for routine check-ups or specialty care
  • Prescription medications crucial for your health
  • Hospital stays that may arise during serious health issues
  • Laboratory fees for necessary medical tests
  • Medical equipment such as crutches or wheelchairs

2. Over-the-Counter (OTC) Medications: Recent updates to legislation allow HSA holders to buy over-the-counter meds without needing a prescription, making it easier to access necessary relief.

3. Dental and Vision Care: Your HSA can cover various dental and vision expenses, enabling you to maintain your overall health. Eligible expenses include:

  • Regular dental cleanings to prevent serious health issues
  • Eyeglasses and contact lenses necessary for vision
  • Lasik surgery for corrective vision
  • Orthodontic treatments to straighten your teeth

4. Alternative Treatments: If your healthcare provider recommends a certain alternative treatment, it may also qualify as an eligible expense under your HSA.

5. COBRA Premiums: Losing a job can be stressful, but with HSA funds, you can still manage to pay premiums for employer-sponsored health insurance via COBRA after job loss to maintain your health coverage.

6. Long-Term Care: If you require long-term care services, HSA funds can be utilized to cover expenses and premiums for long-term care insurance, ensuring that you are prepared for the future.

Before using your HSA funds, ensure that the expense qualifies as a medical necessity according to IRS guidelines. It’s wise to keep track of all receipts and documentation you may need if questioned during tax season.

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