Can HSA be declined?
Asked by: Dr. Floy Haag | Last update: September 28, 2025Score: 4.3/5 (69 votes)
Why would the HSA card be declined?
Your card will be declined if there are insufficient funds in your account to cover the purchase. You can use a personal form of payment or ask the merchant if they can split the purchase between two forms of payment, allowing you to use your available balance and pay for the difference with another payment method.
What disqualifies you from an HSA?
An employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses generally cannot make contributions to an HSA.
Can HSA be denied?
Having an HDHP is one of the requirements to start an HSA, but it does not guarantee your eligibility. For instance, having an HDHP but being enrolled in Medicare or being listed as a dependent on another person's tax returns could result in your HSA eligibility being denied.
What happens if I use my HSA for groceries?
If you use your HSA for an expense other than eligible medical expenses you can subject yourself to significant IRS penalties. Inappropriate use of your HSA funds may also leave you without money to pay for your eligible medical expenses in the future.
What Should You Do If Your Employer Doesn't Offer an HSA?! #AskTheMoneyGuy
How does IRS know what you spend HSA on?
Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.
What happens if you accidentally use HSA for non-medical expenses?
You can repay the incorrect distribution before filing your federal taxes for that tax year. However, if you do not correct the mistake, the unqualified amount will be subject to income tax, and you may also face an additional 20% tax penalty.
Can I pay for my gym membership with my HSA?
Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.
Can I get in trouble for using HSA money?
When health savings accounts aren't used for their intended purposes, account holders are often assessed penalties. When an account holder under the age of 65 uses their health savings account's funds for non-medical expenses, they have to pay income tax on the money spent plus a 20-percent penalty.
What is the 12 month rule for HSA?
It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.
What is the downside of an HSA?
Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).
Why do I not qualify for HSA?
If you or your spouse participates in a Healthcare Flexible Spending Account (Healthcare FSA) or a Health Reimbursement Arrangement (HRA) that allows for reimbursement of your medical expenses, you are not eligible to establish a new HSA or make contributions to a current HSA.
What proof do I need for HSA?
For FSAs, HSAs, and some HRAs, a detailed provider receipt or itemized cash register receipt is usually sufficient, if it contains all the required information listed above. For some HRAs, an Explanation of Benefits (EOB) from your insurance company is required.
How do you lose HSA eligibility?
- Your spouse or domestic partner has a general purpose FSA/HRA. ...
- You switch to a non-HDHP plan midyear. ...
- You receive treatment at an Indian Health Services (IHS) or Veteran's Affairs (VA) facility. ...
- You enroll in Medicare or Medicaid. ...
- Your employer offers an onsite clinic where you work.
Why is my Healthy Benefits card being declined?
The most common reasons why a benefit card may be declined at the point of sale are: The benefits card has not been activated. The benefits card has been used before the 24-hour waiting period after activation is over. The participant has insufficient funds in the benefit account to cover the expense.
What if I never use the money in my HSA?
Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.
What if I accidentally bought food on my HSA?
Yes, you read that correctly—even if you accidentally paid for a burger with your HSA debit card, you will have to report it on your annual income tax return and pay taxes on it. If you're under 65 and spend the money on unqualified purchases, you must also pay a 20% penalty on top of the income tax.
Can I use my HSA to pay for my girlfriend?
The only time you can use your HSA to pay for the healthcare costs of a friend is if you have named that person as a dependent on your most recent tax return (provided that they qualify under the non-relative qualifications — detailed below).
Can I use my HSA for massage?
Your HSA can pay for massage therapy, though you'll likely need a letter of medical necessity (LMN) from your doctor. An LMN states what condition the treatment is for, how many sessions you need, and any other relevant details. An HSA may also be used on alternative or holistic treatments, such as: Massage therapy.
Is the Apple Watch HSA eligible?
Why other fitness trackers don't qualify. Even though Fitbits and Apple Watches measure important health data, they currently do not qualify for HSA reimbursement, as they are considered for general health use and not intended to treat or manage a specific medical condition.
Can I use HSA for groceries?
As mentioned earlier, using HSA funds directly for groceries is not allowed under current IRS regulations. This can be seen as a downside for individuals looking to use their HSA money for day-to-day expenses.
Can I use my HSA to pay for therapy?
Yes. You can use an HSA to cover some mental health expenses, including therapy to treat a diagnosed mental condition. However, therapy that isn't specifically designed for medical or mental health needs — like marriage or family counseling — often won't qualify for HSA coverage.
Why is my HSA card being declined?
Card declines can occur because funds have expired, new cards have been issued, the card does not have sufficient funds or various other reasons.
Will my HSA get audited?
The IRS can audit you for 7 years for the use of your HSA funds. You will need to be able to prove that money spent from your account went to eligible expenses. I would recommend attaching all receipts to the monthly statement when the deduction occurs.
Can you get in trouble for using HSA?
If you use your HSA to pay for a friend's medical bills you are going to run into a big IRS bill. The money you take out of your HSA for a friend will be deemed an “unqualified expense.” That means you will owe income tax on the withdrawal and a 20 percent penalty if you are younger than 65.