Can I use my HSA for non prescription drugs?

Asked by: Gus West I  |  Last update: November 8, 2023
Score: 4.1/5 (34 votes)

Health savings accounts (HSAs) allow qualified individuals to use pretax dollars to buy over-the-counter (OTC) drugs that they would normally pay for out of pocket. If you don't have an HSA, you can also use a flexible spending account (FSA) to purchase qualified OTC drugs.

What if I do use my HSA for purchases that are not eligible medical expenses?

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 can an HSA not be used for?

Generally, you can't use your HSA to pay for expenses that don't meaningfully promote the proper function of the body or prevent or treat illness or disease. Nutritional supplements and weight loss programs not prescribed by a physician are examples of expenses that would not be covered by your HSA.

Can I use HSA card for vitamins?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

Can you buy toilet paper with HSA?

Toiletries are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). What are toiletries?

What expenses can I use my HSA for?

17 related questions found

Is Apple Watch HSA eligible?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

Can toothbrush go on HSA?

While it seems like they would fit under the dental care umbrella, general self-care items like toothpaste, toothbrushes, and floss are not FSA or HSA eligible. Same goes for specialized or medicated toothpastes. Here's a short (and not exhaustive list) of items that are not eligible for reimbursement: Braces wax.

Can I buy a treadmill with my HSA?

A treadmill may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA).

Is Tylenol HSA-eligible?

Acetaminophen, the primary ingredient found in Tylenol, is an eligible OTC item. Acetaminophen reimbursement is eligible with an FSA account, HSA or HRA. Acne Medicine such as Clean and Clear, Neutrogena, Proactiv, etc., is eligible.

Can you use HSA at Costco?

Costco accepts a limited number of cards at the main checkout lanes, but they'll let you pay for eligible items with your HSA/FSA card at the Pharmacy or Optical counters. So to use your FSA or HSA cards at Costco, just bypass the regular checkout lines and visit the Pharmacy or Optical department instead.

Can you buy toothpaste with HSA?

Toothpaste: HSA Eligibility

Toothpaste is not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA). What is toothpaste?

Can I use HSA money for anything?

If you have money in your HSA when you turn 65, you can spend it on anything you want — but if you aren't spending it for a qualified medical expense it will be taxed as income at your then current tax rate. You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses.

What is the disadvantage of an HSA?

Cons of an HSA
  • Only available with high-deductible health plans.
  • You'll owe taxes and penalties on distributions before age 65 that aren't for qualified medical expenses.
  • You must keep records to show the IRS that you used your withdrawals for qualified expenses.

Can I use my HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Why is my HSA card being declined when I have money?

The decline may be due to the following reasons: Your purchase wasn't considered a qualified medical expense under your HSA plan. Your HSA balance was too low to cover the transaction.

Can I buy shampoo with HSA?

While some exceptions may vary, shampoo is generally not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

What medications are covered by HSA?

Common Over-the-Counter (OTC) Medicines
  • Acid controllers.
  • Acne medicine.
  • Aids for indigestion.
  • Allergy and sinus medicine.
  • Anti-diarrheal medicine.
  • Baby rash ointment.
  • Cold and flu medicine.
  • Eye drops*

Are caffeine pills HSA eligible?

Caffeine pills are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can ibuprofen be paid from HSA?

Yes, you can use your Health Savings Account (HSA) to purchase over-the-counter drugs without a prescription from your physician. Use your HSA for all Advil products.

Can I use my HSA to pay for a Fitbit?

A fitness tracker device, such as a Fitbit, is only eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

Can I buy a peloton with my HSA?

Can I buy a Peloton bike with my HSA? Can I use my HSA for a gym membership? Treadmills, gym memberships, and peloton bikes are not eligible HSA or FSA expenses. However, if you have a Letter of Medical Necessity from your doctor that requires you to exercise, you might be able to use HSA or FSA funds for those.

Can an HSA be used for massage therapy?

Massage Therapy is eligible for reimbursement through most FSA's and HSA's. Some do require a Letter of Medical Necessity from your doctor, but this means you can potentially be reimbursed from your insurance for your massage from us!

Can I use my HSA to buy a Waterpik?

Waterpiks are eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA) and limited-purpose flexible spending accounts with a Letter of Medical Necessity (LMN).

Does HSA cover sunscreen?

Sunscreen: HSA Eligibility. Sunscreen is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) ...

Does IRS audit HSA?

HSA reimbursements need matching receipts.

When using an HSA debit card, retain receipts for each transaction as those expenses will be reported to the IRS, and you could be audited.