What can I not spend HSA on?

Asked by: Fay Shields MD  |  Last update: January 2, 2024
Score: 4.3/5 (51 votes)

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 you spend HSA on 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 are HSA restrictions?

2022 HSA contribution limits:

The maximum out-of-pocket is capped at $7,050. An individual with family coverage under a qualifying high-deductible health plan (deductible not less than $2,800) can contribute up to $7,300 — up $100 from 2021 — for the year.

Can I use 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 I use my HSA to pay for pet care?

The bottom line. HSA funds can't be used to pay for a normal pet's veterinary care, prescriptions, or other medical expenses. However, HSAs can be used to pay for healthcare costs for service animals, because those expenses are related to people's disabilities.

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19 related questions found

Can I use my HSA to buy a mattress?

Mattress: HSA Eligibility

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

Can you use HSA 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.

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 to pay for Botox?

Botox: HSA Eligibility

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

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 get in trouble for using HSA money?

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 keep HSA money forever?

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.

Do HSA funds expire?

Your HSA contributions don't expire. The money stays in the HSA until you use it. expenses for your spouse and dependents, even if your high deductible health plan doesn't cover them. ∎ HSA doesn't go away if job changes.

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?

Can I buy sunscreen with HSA?

If you have a Flexible Spending Account (FSA), Health Saving Account (HSA) or Health Reimbursement Account (HRA), you can use it to pay for a wide variety of health care products and services. The IRS determines which expenses can be reimbursed. Sunscreen is considered one of those eligible expenses.

Can I buy tampons with HSA?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Can you use HSA for acne scars?

Scar treatment is eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and a health reimbursement arrangement (HRA).

Can I use my HSA for tattoo removal?

Does insurance cover tattoo removal? No. Since tattoo removal is considered cosmetic surgery, you can't get insurance coverage or use FSA or HSA funds to pay for the procedure.

Can I use HSA for laser hair removal?

You also can't use your HSA or FSA to pay for laser hair removal. This is not an HSA-eligible expense under IRS Publication 502. If you tap into these accounts to pay for your laser hair removal procedure, this would be considered a nonqualified distribution. You may be subject to a penalty.

Can you use HSA at Sephora?

No, Sephora does not accept FSA or HSA cards in-store or online at Sephora.com. However, if you happened to buy FSA eligible sunscreen from Sephora, save your receipt and reimburse yourself!

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.

Are sunglasses FSA eligible?

Sunglasses may count as a qualified vision expense for an FSA. There must be an IRS-approved medical reason for the sunglasses, such as to correct your vision. But you must have a prescription from a doctor. If you have an FSA, you should understand how the account works to make the most of your benefits.

Are saunas HSA-eligible?

Since saunas, ice bath tubs, and other wellness products are now considered to be very beneficial tools for one's mental and physical health, FSA and HSA cards are now being accepted as health and medical expenses.

Can you use HSA for ibuprofen?

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

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).