Can I use my HSA for weight loss?

Asked by: Raul Moen  |  Last update: January 22, 2026
Score: 4.1/5 (54 votes)

Using your HSA for weight loss costs — what to know There are a few ways to use your HSA to cover, or reimburse yourself for, weight loss-related costs. As long as your weight loss expense is eligible for HSA funds, your HSA can cover it, even if your insurance plan doesn't.

Can I use my HSA to pay for Ozempic?

Ozempic, Wegovy, and other semaglutides, being prescription medications, are eligible for coverage under an HSA!

Can I use HSA for fat removal?

You typically can't use health savings account (HSA) funds to pay for cosmetic surgery tax-free if the procedure is done only to improve appearance. However, if a procedure serves a medical purpose, such as correcting a deformity from an injury or treating a health condition, it may be HSA eligible.

Can I use my HSA account to pay for weight watchers?

You may be eligible to use your FSA/HSA dollars for WW membership, if your doctor recommends weight loss for a specific condition. The savings add up!

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.

Fox 47: Using your FSA or HSA funds at Medical Weight Loss Clinic

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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.

Can HSA pay 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.

Is weight loss covered by HSA?

You can use funds in your HSA account to pay for weight loss medications if they're prescribed for a specific medical condition, such as obesity (BMI of 30 or greater), overweight (BMI of 27 or greater with a weight-related health condition), diabetes, or heart disease.

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.

Can I use my HSA for a fitness watch?

To purchase a fitness tracker with a consumer-directed healthcare account like an FSA, HSA or HRA, a Letter of Medical Necessity (LMN) is required to show that the device will be used to treat a legitimate medical condition such as obesity.

Can I use HSA for weight scale?

A scale for food or weight with a Letter of Medical Necessity (LMN) is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA).

Can you pay for deodorant with HSA?

Deodorant reimbursement is not eligible 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 can HSA not be used for?

Other items that aren't eligible include maternity clothes, funeral costs, child care for healthy babies, toiletries, over-the-counter medicine, swimming lessons and elective cosmetic procedures. You also usually can't use HSA money to pay for health insurance premiums unless you meet certain criteria.

How do I get 3 months of Ozempic for $25?

With the Ozempic® Savings Card, you may PAY AS LITTLE AS $25b for a 1-month, 2-month, or 3-month supply for up to 48 months. To receive offer, prescription must be for a 1-, 2-, or 3-month supply. Savings card offer applies to eligible commercially insured patients with coverage for Ozempic®.

Can I pay for Noom with my HSA?

Your Noom Med (Telehealth) subscription should be a qualifying medical expense for most HSA/FSA plans. While we're unable to accept direct payments at this time, we can provide you with the documentation needed for reimbursement. When you signed up, you should've received a subscription receipt in your email.

What can I spend HSA money on?

A Health Savings Account (HSA) lets you set aside money on a pre-tax basis to pay for:
  • Coinsurance. Coinsurance. ...
  • Copayments. Copayment. ...
  • Deductibles. Deductible. ...
  • Qualified medical expenses (includes some dental, drug, and vision expenses) – Find an expenses list on IRS.gov.

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 ever cash out my HSA?

As a practical matter, you are allowed to withdraw funds from your HSA at any time for any reason. But if you aren't using the funds to cover a qualified medical expense, then you'll be stuck paying a penalty tax.

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.

How much is Wegovy without insurance?

The cost of Wegovy depends on your insurance coverage and pharmacy. A package of Wegovy contains four pens, each pre-filled with a single dose of Wegovy. Without insurance, the cost of Wegovy is $1,349.02 per month or 28-day package, which breaks down to $337.25 per week or $16,188.24 per year.

Can I use my HSA card for weight watchers?

Exactly how much you save depends on your tax rate and the amount of funds in your plan. Can I use my FSA/HSA card to sign up for WeightWatchers? No. You must use a valid credit or debit card at check out then submit for reimbursement.

Does metformin help with weight loss?

Many people with diabetes who are prescribed metformin lose around 2% to 3% of their body weight within the first year of starting the drug.

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 vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.

Can I use my HSA for massages?

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.