What does an HSA not cover?

Asked by: Dr. Buster Dare V  |  Last update: November 14, 2025
Score: 4.5/5 (48 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.

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 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.

What's one potential downside of an HSA?

HSA Cons. The big drawback of an HSA is that you have to sign up with a high deductible health plan to be eligible for one. It is difficult to forecast medical expenses accurately.

What can I spend my 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.

The Real TRUTH About An HSA - Health Savings Account Insane Benefits

21 related questions found

Can HSA be used for groceries?

SNAP provides eligible low-income individuals and families with funds to purchase food items at authorized retailers. In conclusion, while HSAs cannot be used for groceries as a general rule, there are exceptions for certain medically necessary items.

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.

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.

What is the biggest advantage of an HSA?

1. What are the potential benefits of an HSA?
  • Federal tax advantages.
  • Savings on qualified medical expenses.
  • Many unreimbursed medical expenses qualify.
  • Annual rollover.
  • Others can contribute, including the participant's employer or family member.
  • Convenience.

Can you ever take money out of 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 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.

Is the Apple Watch covered by HSA?

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 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 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.

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.

What happens if you accidentally use your HSA account by mistake?

After you report the mistake to the custodian, the custodian reports it to the IRS. Reimburse the HSA. If you've mistakenly used HSA funds for nonqualified expenses, you must repay the distribution amount back into your HSA by the tax filing deadline for the year in which the distribution occurred.

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 you spend HSA on anything?

You can use your HSA to fund big bills, like braces. It can also help cover routine dental needs, like cleanings and fluoride treatments. Your health insurance might not cover a new pair of eyeglasses or your contact lens solution, but those expenses are qualified.

What are the triple benefits of a HSA?

Health Savings Accounts offer a triple-tax advantage* – deposits are tax-deductible, growth is tax-deferred, and spending is tax-free. All contributions to your HSA are tax-deducible, or if made through payroll deductions, are pre-tax which lowers your overall taxable income.

Can you use HSA for vet bills?

The short answer is yes, you can use your HSA for veterinary expenses. Under current IRS guidelines, eligible medical expenses include those that are primarily for the prevention or alleviation of a physical or mental defect or illness.

Do you lose money in HSA if you don't use it?

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 you buy food with an HSA card?

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.

Are tampons HSA eligible?

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 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.

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.