What can I use HSA money for?
Asked by: Trudie McDermott | Last update: January 10, 2026Score: 4.5/5 (1 votes)
- Coinsurance. Coinsurance. ...
- Copayments. Copayment. ...
- Deductibles. Deductible. ...
- Qualified medical expenses (includes some dental, drug, and vision expenses) – Find an expenses list on IRS.gov.
Can you use HSA money for anything?
You can use an HSA to cover eligible medical, vision, and dental expenses for you, your spouse, and eligible dependents. For those with an eligible high-deductible health plan (HDHP), investing in an HSA could be a great way to help pay for current and future medical care.
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.
What items can you use your HSA card for?
Your HSA can help you cover qualified emergency, dental, vision, and family medical expenses. The CARES Act has expanded the list of HSA-eligible items to include over-the-counter (OTC) purchases such as allergy, cough, and cold medications.
Can I pay for my gym membership with my HSA?
Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.
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Can I use HSA for Apple Watch?
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 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 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 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.
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 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).
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 12 month rule for HSA?
It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.
Can I cash out my HSA?
Yes, you can withdraw funds from your HSA at any time. But please keep in mind that if you use your 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.
Can you 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.
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 cover 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.
Can I use my HSA to pay for a chiropractor?
You can use your HSA to pay for chiropractic care or any other qualified medical expense, even if you have other insurance coverage. HSA funds can be used to cover copayments, deductibles, or any out-of-pocket expenses related to your chiropractic care that your insurance does not cover.
Can I use HSA to pay credit card?
But can you pay off that medical credit card debt using a tax-advantaged medical savings account like an HSA or FSA? In short, yes, but it's important to keep good records.
What skincare can I use my HSA for?
Eligible products may include sunscreen with SPF 15 or higher, acne cleansers and medicated ointments, eczema treatments, scar and wound care products, and anti-itch creams. Basic skincare and cosmetic treatments are typically not covered.
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?
Can I use HSA to buy chapstick?
Lip balm with an SPF of 15 or greater is an eligible over-the-counter (OTC) product with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).
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.
What if I accidentally bought food on my HSA?
Yes, you read that correctly—even if you accidentally paid for a burger with your HSA debit card, you will have to report it on your annual income tax return and pay taxes on it. If you're under 65 and spend the money on unqualified purchases, you must also pay a 20% penalty on top of the income 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.