Can you use HSA for estheticians?

Asked by: Chris Johnson  |  Last update: March 25, 2025
Score: 5/5 (15 votes)

The eligibility of HSA funds for facials depends on various factors, including the nature of the treatment and the documentation required by the Internal Revenue Service (IRS). While generally considered cosmetic in nature, some facial treatments may be eligible for HSA funds if they are deemed medically necessary.

Can HSA account be used for cosmetic procedures?

The HSA can only be used for cosmetic surgery if prescribed by a physician and deemed medically necessary. If it qualifies, then you can withdraw funds with no penalty as long as below the cost of the amount paid for procedure.

Can I use my HSA at a spa?

Massages for stress relief or spa treatments, even if they improve your overall health, do not meet the criteria for HSA reimbursement. This is why you should keep detailed records for any massage therapy you claim as an HSA expense to demonstrate that it is supported by a medical diagnosis and prescription.

Can HSA pay for microneedling?

Is Micro-needling Covered By Insurance? No. Unfortunately, these treatments are considered cosmetic and are not paid for by insurance. You may be able to use your HSA to pay for treatments, however we recommend that you check with your insurance carrier first.

Is facial tissue HSA eligible?

Facial tissues 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) as they are considered a cosmetic product.

Can You Use an HSA for Plastic Surgery?

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Can I use my HSA for an esthetician?

According to the IRS, eligible skin care expenses must be considered medically necessary. This means that treatments or products used purely for cosmetic purposes, such as anti-aging creams or facials, would not qualify.

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.

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

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 you use HSA for teeth whitening?

Unfortunately, you can not use money from your HSA to cover teeth whitening services. While there are many benefits to white teeth, it is ultimately considered a cosmetic procedure. Any service designed to improve a patient's appearance as opposed to their bodily functions is not an eligible expense.

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.

Can I use my HSA card for skincare?

Over-the-counter acne and skincare products are now HSA eligible with out the need for a prescription.

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 chiropractor?

HSAs can be used for large and small qualified medical expenses. You can use your HSA for ongoing medical services and treatments, like chiropractic care, acupuncture, or physical exams. Medical copays, deductibles, and coinsurance can also be covered under an HSA.

Can I use HSA 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 HSA for tummy tuck?

FSAs and HSAs allow you to set aside pre-tax dollars for qualified medical expenses, including elective procedures like abdominoplasty. Check the guidelines of your specific account to determine eligibility and any limitations.

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.)

Can HSA be used for Invisalign?

Straighten Your Smile and Save: Yes, You Can Use Your FSA or HSA for Braces or Invisalign!

Does HSA pay for Botox?

Can you use HSA funds to pay for Botox? If you're using Botox for cosmetic purposes like reducing wrinkles or fine lines, it's not considered an HSA-eligible expense. However, Botox may be HSA eligible if it's used to treat a medical condition like chronic migraines, severe muscle spasms, or overactive bladder.

Can I use HSA to buy electric toothbrush?

Brush-Up on FSAs and HSAs

However, current law does not recognize certain oral healthcare products — such as manual toothbrushes, electric toothbrushes, water flossers, mouthwash, or OTC anti-cavity toothpaste — as “qualified medical expenses.”

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 I buy 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).

Can I 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?

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 my HSA to pay for therapy?

Yes. You can use an HSA to cover some mental health expenses, including therapy to treat a diagnosed mental condition. However, therapy that isn't specifically designed for medical or mental health needs — like marriage or family counseling — often won't qualify for HSA coverage.

Are vitamins HSA eligible?

Most vitamins and supplements are not eligible with an FSA or HSA because the IRS considers them for general good health.