What is eligible for HSA funds?

Asked by: Jolie Stoltenberg | Last update: January 18, 2024

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While you can use the funds in an HSA at any time to pay for qualified medical expenses, you may contribute to an HSA only if you have a High Deductible Health Plan (HDHP) — generally a health plan (including a Marketplace plan) that only covers preventive services before the deductible.

What items qualify for an HSA?

The following 18 items are examples of now-qualified medical expenses:

Acne treatments.
Allergy medication.
Aspirin.
Band-Aids.
Breathing strips.
Cold and cough medicine.
COVID-19 tests.
Eye drops.

What disqualifies you from having an HSA?

If you enroll in Social Security you will be automatically enrolled in Medicare Part A, which will disqualify you from contributing to an HSA. You can delay enrollment in Medicare Part A only if you delay taking Social Security. You can delay taking Social Security up until age 70 and one half years old.

Can you use HSA funds for 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.

Can HSA be used for dental?

You can also use HSAs to help pay for dental care. While dental insurance can help cover costs, an HSA can also help cover any out-of-pocket expenses resulting from dental care and procedures.

Health Savings Account (HSA): Eligibility

20 related questions found

Can I use my 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.

Are vitamins HSA-eligible?

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.

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.

Do you have to prove HSA purchases?

Recordkeeping Requirements

Essentially, any money that comes out of your HSA must have a receipt showing it was for an eligible medical expense.

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 HSA buy 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.

Is Tylenol HSA eligible?

Acetaminophen, the primary ingredient found in Tylenol, is an eligible OTC item. Acetaminophen reimbursement is eligible with an FSA account, HSA or HRA. Acne Medicine such as Clean and Clear, Neutrogena, Proactiv, etc., is eligible.

Does the IRS monitor HSA accounts?

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. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.

What if I accidentally made a purchase with my HSA card?

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.

Do you have to pay back HSA?

The HSA money you take out will be added back to your gross income. Meaning you'll owe taxes. Let's say your tax rate is 20% and you withdraw $1,000 for that new TV - you'll also have to pay back $200 in taxes! On top of the taxes above, there's another 20% penalty for non-qualified withdrawals.

What happens if you accidentally use HSA for non medical?

If you use your HSA for an expense other than eligible medical expenses you can subject yourself to significant IRS penalties. Inappropriate use of your HSA funds may also leave you without money to pay for your eligible medical expenses in the future.

Can I move money from my HSA to my bank account?

† You can use these checks to pay providers or reimburse yourself for expenses already incurred. 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.

Can you use HSA for Apple Watch?

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 I use HSA to buy electric toothbrush?

Electric toothbrushes are not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), dependent care flexible spending accounts, and limited-purpose flexible spending accounts (LPFSA) because they are general health products.

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).

Can you use HSA at Costco?

Costco accepts a limited number of cards at the main checkout lanes, but they'll let you pay for eligible items with your HSA/FSA card at the Pharmacy or Optical counters. So to use your FSA or HSA cards at Costco, just bypass the regular checkout lines and visit the Pharmacy or Optical department instead.

Can I use my HSA to pay 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 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 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).

What is the last month rule for HSA?

Last-month rule.

Under the last-month rule, if you are an eligible individual on the first day of the last month of your tax year (December 1 for most taxpayers), you are considered an eligible individual for the entire year.