Can I use my HSA card to pay for someone else's prescription?

Asked by: Mr. Wilbert Hilpert MD  |  Last update: February 9, 2025
Score: 4.2/5 (23 votes)

Your HSA funds can be used to pay for your qualified medical expenses as well as those of your spouse and other tax dependents. This is true, even if the dependent is not covered under your health plan.

Can I pay for someone else's prescription with my HSA?

Yes, as long as you use the funds to pay for qualified medical expenses, you can pay for any family member who is a tax dependent on your tax return. You may also use the funds for medical expenses incurred by your child who is claimed as a tax dependent by their other parent.

Can I use my HSA for someone not on my health plan?

The basic rule: Family Only. You can make tax-free withdrawals from an HSA to cover qualified medical expenses for yourself, your spouse and anyone you claim as a dependent on your tax return. That's it. If you use your HSA to pay for a friend's medical bills you are going to run into a big IRS bill.

What triggers an HSA audit?

Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.

Can I use my HSA for my mom?

But you can use the money that's left in your HSA to cover qualified medical expenses for yourself, your daughter, and your parents (parents are only eligible if qualifying relative dependents, like we mentioned above).

What Can the HSA Debit Card Buy? (What Can You Purchase with HSA Funds?)

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What happens if I use my HSA for something else?

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 use my HSA to pay for my adult child?

The Affordable Care Act (ACA) requires that major medical plans cover dependents to age 26; however, these dependents do not need to be tax dependents. To use your HSA funds for your dependent child's health expenses, the adult child must be claimed as a tax dependent on the HSA's owner tax return.

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 I use my HSA for ineligible expenses?

Prior to age 65, if you use your money for non-qualified expenses, the IRS imposes a withdrawal penalty of 20 percent on the amount withdrawn. To help you, below are some services and expenses that are not qualified: Aromatherapy. Baby: bottles, cups, formula, oil & wipes.

Can I borrow from my HSA and pay it back?

No.

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).

Can I use my HSA to buy glasses for someone else?

Your HSA and FSA vision care coverage is not limited to purchases you make for yourself, either. You can also use your accounts to pay for vision expenses for your spouse and eligible dependents — even if they are covered under a different insurance plan.

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.

Can I use my HSA for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

How much should I have in my HSA at retirement?

The amount of money you should have in your HSA during retirement depends on your healthcare needs and circumstances. According to the Fidelity Retiree Health Care Cost Estimate, a single person who is age 65 in 2023 should aim to have about $157,000 saved (after tax) for healthcare expenses during retirement.

How does HSA work with prescriptions?

About HSA Plan Prescription Drug Coverage

If you are enrolled in the HSA Plan, you must pay all out-of-pocket costs for prescription drugs until you meet your annual deductible with the exception of Tier Zero drugs (see below). You can use your HSA to pay for your prescription drug costs.

Can I use my HSA card for someone else?

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).

What happens if I accidentally used my HSA card for groceries?

If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.

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 happens if you use HSA money for non-medical?

In addition, if HSA funds are withdrawn before age 65 and not used for eligible medical expenses are generally subject to an additional 20% tax penalty. In other words, you may lose the tax benefits when you use HSA for non-medical expenses. There may also be a significant tax fee or penalty.

Can I use my HSA card for groceries?

No, you can't use your Flexible Spending Account (FSA) or Health Savings Account (HSA) for straight food purchases like meat, produce and dairy. But you can use them for some nutrition-related products and services. To review, tax-advantaged accounts have regulatory restrictions on eligible products and services.

Can you buy tampons with HSA?

Yes! Thanks to the CARES Act, tampons are now considered a “medical expense.” That means you can use pre-tax income to pay for them through your HSA. More questions about tampons? Learn the truth behind some of the most common tampon myths.

What is the adult child loophole for HSA?

Another not-widely-understood strategy is the HSA Adult Child Loophole. This loophole allows parents to pay qualified medical expenses for their adult children with tax-free dollars, even if they aren't dependents, or covered under their parents' health insurance plan.

Can I use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Can I use my parents' HSA after I turn 26?

This means he is not eligible to be claimed as a tax dependent on his parents' tax return. He may be enrolled in his parent's qualified HDHP until he reaches age 26, but their HSA funds cannot be used to help pay his out-of-pocket medical expenses.