What happens if HSA card is declined at pharmacy?
Asked by: Nyah Treutel | Last update: October 4, 2025Score: 4.2/5 (35 votes)
Why is my HSA card being declined when I have money?
Card declines can occur because funds have expired, new cards have been issued, the card does not have sufficient funds or various other reasons. You typically find the contact information for your plan administrator on the back of your FSA/HSA card.
Do pharmacies accept HSA cards?
Pharmacies and some medical providers will ask you to pay for expenses when you pick up your prescriptions or receive care (example: co-payments). Remember, to ensure the provider has your current medical coverage information, and use your HSA debit card to pay the provider.
What happens if you buy something not HSA approved?
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. Be very careful not to use HSA money on unqualified expenses so you don't lose a portion of your savings to taxes and penalties.
Why is my Healthy Benefits card being declined?
The most common reasons why a benefit card may be declined at the point of sale are: The benefits card has not been activated. The benefits card has been used before the 24-hour waiting period after activation is over. The participant has insufficient funds in the benefit account to cover the expense.
New HSA Rules in 2025 You Need to Know
Can HSA be denied?
Having an HDHP is one of the requirements to start an HSA, but it does not guarantee your eligibility. For instance, having an HDHP but being enrolled in Medicare or being listed as a dependent on another person's tax returns could result in your HSA eligibility being denied.
Is it illegal to use HSA money for anything?
You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes.
Can I run my HSA card as credit?
In order for your card to work, you must have the balance available in your HSA; no overdraft is available. Please note: The card will not work at ATMs and will only work at appropriate medical facilities. The card should always be run as 'credit' and no PIN is required.
How does HSA know what you buy?
Because HSA administrators don't track the purchases employees make with their HSA, employees should make it a habit to save receipts for all HSA-eligible goods and services, so they can easily reimburse themselves when they are ready, or when they need the money.
Can I use HSA for Canadian pharmacy?
Medicines purchased from other countries are generally 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).
How do prescriptions work with HSA?
With an HSA, you generally pay the full cost of your prescriptions until you meet your deductible. The tool will give you a general idea of the potential costs of various medicines. Your actual pharmacy benefit will determine your costs. Your plan also may not cover all of the drugs shown in the look-up tool.
Can I buy groceries with my 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.
What happens if I don't have enough money in my HSA?
If you do not have enough money in your HSA to pay for an eligible medical expense you will need to pay for the expense by some other means. Once the money is in your HSA account, you can withdraw the amount that you paid and reimburse yourself.
Why was the OTC card declined?
You did not activate the card. The item you are purchasing is not eligible under your plan. You do not have enough money in your account. The item you are purchasing is a non-prescribed OTC medicine.
What happens if I use my HSA to pay a bill?
If used for other expenses, the amount withdrawn will be taxable as income but will not be subject to any other penalties. Individuals under age 65 who use their accounts for non-qualified medical expenses must pay income tax and a 20% penalty on the non-qualified withdrawal.
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?
About the IRS' last-month rule testing period and penalty
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 transfer money from my HSA to my bank account?
Online Transfers – On HSA Bank's member website, you can reimburse yourself for out-of-pocket expenses by making a one-time or reoccurring online transfer from your HSA to your personal checking or savings account.
What if I accidentally bought food on my HSA?
If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% 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 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.
Why is my HSA card being declined?
Your card will be declined if there are insufficient funds in your account to cover the purchase. You can use a personal form of payment or ask the merchant if they can split the purchase between two forms of payment, allowing you to use your available balance and pay for the difference with another payment method.
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.
Can I use my 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.