Complete List of Qualified HSA Expenses


When it comes to qualified expenses that can be paid for using a Health Savings Account (HSA), there is a wide range of eligible medical, dental, and vision expenses. It's important to note that the list of qualified expenses may vary depending on the specific regulations and guidelines set by the IRS and your employer's plan. Here is a comprehensive list of qualified HSA expenses:

1. Medical Expenses:

   - Doctor's visits and consultations

   - Prescription medications

   - Hospital services and treatments

   - Laboratory fees and tests

   - X-rays and imaging services

   - Physical therapy

   - Mental health services

   - Substance abuse treatment

   - Chiropractic care

   - Acupuncture

   - Smoking cessation programs

   - Weight loss programs for specific medical conditions

   - Medical equipment and supplies (e.g., crutches, wheelchairs, blood pressure monitors)

2. Dental Expenses:

   - Routine dental exams and cleanings

   - Fillings, crowns, and bridges

   - Orthodontic treatment

   - Dentures and dental implants

   - Oral surgery

   - Teeth whitening (if prescribed by a dentist for a medical reason)

3. Vision Expenses:

   - Eye exams

   - Prescription eyeglasses and contact lenses

   - Prescription sunglasses

   - Corrective eye surgery (e.g., LASIK)

   - Vision therapy

4. Family Planning Expenses:

   - Birth control pills and devices

   - Fertility treatments

   - Pregnancy tests and prenatal care

   - Breast pumps and lactation supplies

5. Preventive Care Expenses:

   - Vaccinations and immunizations

   - Annual physical exams

   - Well-child visits

   - Mammograms and Pap smears

   - Colonoscopies and other cancer screenings

   - HIV testing

6. Over-the-Counter (OTC) Medications and Supplies:

   - As per the CARES Act, certain OTC medications and supplies are now eligible for reimbursement using HSA funds. This includes items such as allergy, cough, and cold medicines.

Please note that this is not an exhaustive list, and there may be other qualified expenses that are specific to your situation. It's always a good idea to consult IRS Publications 502 and 969 for the complete list of eligible and ineligible expenses. Additionally, your employer's plan document may provide further guidance on reimbursable expenses under your specific plan.

Remember to keep all receipts and documentation for your qualified medical expenses, as they may be required for tax purposes and to substantiate your HSA withdrawals