What is not covered under HSA?

Asked by: Juvenal Wehner III  |  Last update: January 17, 2024
Score: 4.7/5 (40 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.

Does HSA cover everything?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

What common items are HSA eligible?

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.

Can you buy toothpaste with HSA?

You can't use your HSA for common items such as toothpaste, dental floss, or over-the-counter mouthwash. Cosmetic procedures, such as teeth whitening, also aren't covered.

Can I 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.

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

41 related questions found

Can I use my HSA for healthy food?

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 use HSA to buy probiotics?

The good news is that many probiotic supplements are eligible for purchase with HSA funds. This is because they are considered to be a "qualified medical expense" under IRS guidelines.

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 use HSA for massage?

Massages with a doctor's note of necessity

In certain cases, the massage is deemed medically necessary, and can be classified as a qualified medical expense. In a case like this, accountholders can use their HSA to pay for the massage.

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.

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 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.)

What happens if you use your HSA card for something else?

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 you buy laundry soap with HSA?

Soap is considered a personal use product and 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).

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 buy sunscreen with HSA?

Sunscreen: HSA Eligibility. Sunscreen is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) ...

Can I use my HSA 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 I use HSA to pay for physical therapy?

Yes, you can.

Since physical therapy services, like the ones provided at Natural Fit Therapy, fall under a medical expense that treats structures and functions of the body, you are able to use your HSA funds to pay for treatment from a physical therapist for yourself, your spouse, or your dependents.

Can I use my HSA card for a facial?

DON'T use your HSA for cosmetic treatments that are not medically necessary. On the other hand, there are some treatments that are considered cosmetic and are not eligible for coverage under an HSA. These treatments are not considered medically necessary and are not eligible for HSA funds.

Can toothbrush go on HSA?

While it seems like they would fit under the dental care umbrella, general self-care items like toothpaste, toothbrushes, and floss are not FSA or HSA eligible. Same goes for specialized or medicated toothpastes. Here's a short (and not exhaustive list) of items that are not eligible for reimbursement: Braces wax.

Is vitamin D covered by HSA?

Vitamins and health supplements are HSA-qualified expenses if they have been recommended by a medical or health professional for the treatment or prevention of a specific disease or condition. Prescriptions are not strictly required, but it's a good idea to get the recommendation in writing from the provider.

Why does HSA not cover vitamins?

They are not always deemed a qualified expense. If your vitamins are not prescribed by a doctor or used to treat a specific condition, your purchase most likely won't be FSA or HSA eligible.

Can I use my HSA card on Amazon for supplements?

Your HSA/FSA funds can be used to buy everything from traditional medical supplies to personal care items, including blood pressure monitors, condoms, contact lens solution, wet wipes, air purifiers, multivitamins, antacids, band-aids, supplements, and more.

What happens if you accidentally pay for groceries with 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.

Why is my HSA card being declined when I have money?

The decline may be due to the following reasons: Your purchase wasn't considered a qualified medical expense under your HSA plan. Your HSA balance was too low to cover the transaction.