Health Savings Accounts (HSA)

What expenses are eligible with a Health Savings Account (HSA)?

The following is a summary of common expenses claimed against Health Savings Accounts (HSAs). IRS eligibility updates regularly. This list is not comprehensive and does not guarantee reimbursement. It's meant to serve as a guide only.

For a more thorough list of eligible items and services, The HSA Store maintains an up-to-date list.

Common IRS-qualified medical expenses:

  • Acupuncture
  • Birth control
  • Breast pumps and lactation supplies
  • Chiropractor
  • Deductible costs
  • Dental care
  • Doctor’s office visits and co-pays
  • Eye exams
  • Fertility treatment (including in-vitro fertilization)
  • Glucose Monitors and supplies
  • Hearing aids and batteries
  • Inpatient hospitalization
  • Insulin
  • Laboratory fees
  • Over-the-counter medicine
  • Physical therapy
  • Prescription medication
  • Psychiatric care
  • Speech therapy
  • Surgery, excluding cosmetic surgery
  • Vaccines
  • Walking aids

Common over-the-counter (OTC) medicines:

Examples include, but are not limited to:

  • Allergy and sinus medicine
  • Anti-diarrheal medicine
  • Antifungal or anti-itch products
  • Cold and flu medicine
  • Laxatives or stool softeners
  • Lice treatments
  • Motion sickness medicines
  • Nasal sprays or drops
  • Ointments for cuts, burns or rashes
  • Pain relievers, such as aspirin or ibuprofen
  • Sleep aids

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