Sample Eligible HSA Expenses
The following are eligible for tax-free purchase with your HSA funds.
- Acupuncture
- Alcoholism treatment
- Ambulance
- Artificial limb
- Automobile modifications for physically handicapped person
- Birth control pills
- Blood pressure monitoring device
- Braille books & magazines (above the cost of regular printed material)
- Chiropractic care
- Christian Science practitioner
- COBRA premiums
- Contact lenses & related materials
- Crutches
- Dental treatment
- Dentures
- Diagnostic services
- Drug addiction treatment
- Eye examination
- Eye glasses & related materials
- Fertility treatment
- Flu shot
- Guide dog or other animal aide
- Hearing aids
- Hospital services
- Immunization
- Insulin
- Laboratory fees
- Laser eye surgery
- Long-term care premiums or expenses
- Medical testing device
- Nursing services
- Obstetrical expenses
- Organ transplant
- Orthodontia (not for cosmetic reasons)
- Over-the-counter medications (see separate list for details)
- Oxygen
- Physical exam
- Physical therapy
- Prescription drugs
- Psychiatric care
- Retiree medical insurance premiums
- Smoking cessation program
- Surgery
- Transportation for medical care
- Weight loss program to treat obesity
- Wheelchair
Sample Expenses that are NOT Eligible for HSA Funds
These items are never eligible for tax-free purchase with HSA funds.
- Cosmetic surgery
- Exercise equipment
- Fitness programs
- Funeral expenses
- Hair transplants
- Household help
- Illegal operations and treatments
- Maternity clothes
- Teeth whitening
- Vitamins
Sample Eligible Over-the-Counter HSA Expenses
Your HSA can also be used for some over-the-counter (OTC) medications. These OTC items are eligible for purchase with your HSA funds.
- Acne medications
- Allergy prevention/treatments
- Anesthetic mouth gels and rinses
- Antacids and acid reducers
- Anti-itch creams
- Antiseptics
- Bandages and dressings
- Cold and flu medicines
- Cold sore remedies
- Contact lens solutions
- Decongestants
- Eye drops
- Eye patches
- Oral pain relievers
- Pain and fever relievers
- Prenatal vitamins
- Reading glasses
- Sinus medications
- Smoking cessation products
- Sunburn creams/sun block
- Wart and corn removers
The “Maybe” List
These products have more than one purpose and may be eligible if prescribed by a doctor for a specific condition or disease.
- Fiber supplements
- Herbal supplements
- Orthopedic shoe inserts
- Snoring cessation aids
- Weight loss and dietary supplements
Sample Over-the-Counter Expenses that are NOT Eligible for HSA Funds
These OTC items are never eligible for tax-free purchase with HSA funds.
- Cosmetics
- Denture supplies
- Deodorant
- Moisturizers and wrinkle creams
- Sun tan lotions
- Toothpaste, toothbrushes and mouth wash
- Tooth whitening products
- Vitamins taken to improve overall health
This is a summary of approved healthcare expenditures as legislated by the IRS. Please visit http://www.irs.gov/publications/p969/index.html for more information.
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