Can I use my HSA for out of country medical expenses?

Asked by: Paige Robel  |  Last update: October 9, 2023
Score: 4.6/5 (56 votes)

Medical care received in foreign countries is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA).

Can you use HSA for medical tourism?

Medical tourism

If you're traveling abroad for a medical procedure, you can pay for the service with your HSA. However, those services have to fall under traditional HSA guidelines. In the US, for example, you can't pay for elective cosmetic surgery with your HSA. That means you can't do it abroad either.

Can you use your HSA anywhere?

You can use it just like a regular debit card for transactions in-store, online, at the doctor, and at other medical merchants. Digital Wallet - Use your card through your preferred mobile wallet: Apple Pay®, Samsung Pay, or Google Pay™.

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.

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?

Should I Pay for Medical Expenses Now or Later With My HSA?

34 related questions found

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 my HSA to pay for gas?

Fuel is eligible for transportation to and from medical care, up to the allowed mileage rate. Fuel, gasoline for medical care reimbursement is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

What do I do if I accidentally used my HSA card?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

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 cash out my HSA?

You can withdraw funds from your HSA anytime. But keep in mind that if you use HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

What is the penalty for misusing HSA?

IRS penalty and taxable income

Prior to age 65, if you use your money for non-qualified expenses, the IRS imposes a hefty HSA withdrawal penalty of 20 percent on the amount withdrawn. For example, if you spend $500 on non-qualified expenses, your penalty will be $100.

Can you use HSA to buy vitamins?

You may be eligible to buy certain vitamins with your health savings account (HSA) or flexible spending account (FSA), if used to treat a medical condition. You may need a letter of medical necessity (LOMN) to purchase vitamins with a tax-advantaged account.

What happens if I use HSA for food?

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 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 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 you use HSA for teeth whitening?

What Dental Services are Not Covered by My HSA? Cosmetic procedures, like teeth whitening, are not covered by your HSA funds. Neither are dental products like dental floss, toothbrushes, toothpaste, or mouthwash. Those products are out of pocket expenses.

Can I use HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)

What happens if you swipe HSA card 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.

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).

Do I need to save HSA receipts?

Always save your receipts and supporting documentation for your records. While Benefit Resource will not ask you to provide a receipt for an HSA expense, you are responsible for maintaining documentation of account use in the event that you are ever audited by the IRS.

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.

Are probiotics covered by HSA?

Example 2: Probiotics.

Probiotic supplements taken for general gut health: Not HSA qualified. Probiotic supplements that are recommended to you by a gastroenterologist or health coach to treat a direct condition: HSA qualified.

What is the HSA reimbursement loophole?

Again, you don't have to reimburse yourself for those medical expenses in the same year, or the same plan year that you incur those medical expenses. If you incur that medical expense, you can just write it down. And then you can reimburse yourself from the HSA at a later date.

Does the IRS audit HSA accounts?

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. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.

Can I withdraw money from my HSA card at an ATM?

Your HSA Bank Health Benefits Debit Card provides access to your HSA funds at point-of-sale with signature or PIN and at ATMs for withdrawals.