Can I use my HSA to pay for a hotel room?

Asked by: Otha Schulist  |  Last update: November 11, 2025
Score: 5/5 (72 votes)

Believe it or not, when you travel for surgery or medical treatment, HSA funds can help you get there. They can also cover hotel and meal expenses during your stay.

Can you use HSA to pay for a hotel?

Your HSA could also cover hotel costs during a medical treatment–related stay for you and a travel companion, up to certain daily limits. Vision: HSA dollars could pay for a new pair of glasses, contact-lens solution, and laser eye surgery.

What travel expenses are HSA eligible for?

Other reimbursable travel expenses include rental car expenses, bus tickets, taxi fare, train tickets, and plane & ferry fees. Ambulatory services, parking and toll fees are also included. These expenses extend not just to the person receiving medical care but also to other individuals.

What can an HSA not be used for?

Personal use items—such as toothbrushes and toothpaste, as well as nutritional supplements—such as vitamins and herbal supplements, cannot be covered by an HSA unless the supplements are recommended by a medical practitioner as treatment for a diagnosed medical condition.

Can HSA go towards gym membership?

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.

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17 related questions found

Can I use HSA to buy Apple Watch?

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.

Is Planet fitness HSA eligible?

In most cases, gym memberships are not considered eligible medical expenses by the IRS. This means you typically cannot use your HSA funds to pay for a gym membership directly.

What happens if I accidentally use my HSA card 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.

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 HSA pay 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.

Can I use my HSA for vacation?

Vacation is not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA), dependent care flexible spending accounts, and limited-purpose flexible spending accounts (LPFSA) because it is a personal not medical expense.

Can I buy a car with my HSA?

Normally, you cannot use HSA money pre-tax to buy an entire car or van. But you still need to get around. Fortunately, it's possible to tap your HSA funds to pay for certain health-related transportation expenses. You can even use HSA funds to pay for medically necessary modifications to cars, trucks, and vans.

What happens to unused HSA funds?

Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.

What travel expenses are eligible for HSA?

These transportation expenses qualify if they are primarily for and essential to medical care. Reimbursable expenses include car/rental car, bus, taxi, train, plane & ferry fees. Ambulatory services, parking and toll fees are also included.

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 to buy a pool?

Swimming pools with a Letter of Medical Necessity (LMN) are eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), a health reimbursement arrangement (HRA).

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.

When should you not use an HSA?

HSAs might not make sense if you have some type of chronic medical condition. In that case, you're probably better served by traditional health plans. HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future.

Can I withdraw money from my HSA?

When can I withdraw money from my HSA? You can withdraw money at any time if it's used for qualified medical expenses. However, if you withdraw money for other purposes, your withdrawal will be subject to income tax (if the contribution was pre-tax) and a 20% penalty.

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.

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 you use HSA for gym membership?

Yes, you can use your Health Savings Account (HSA) for weight loss expenses, such as fitness programs in gyms. However, they must be directly related to the treatment, prevention, or alleviation of a specific medical condition, such as obesity, hypertension, or heart disease.

Is an 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 I use HSA 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 I use my HSA for a massage?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception.