Individual and Family

What can I use my HSA for?

BY Carly Plemons Updated on February 26, 2024

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Let’s chat about how you can make the most of your Health Savings Account (HSA). An HSA is like a financial toolbox for your healthcare needs, and it’s an excellent way to save money while keeping your health in check. So, what can you use your HSA for? Well, let’s dive in and find out!

What is a Health Savings Account (HSA)?

Think of an HSA like a special savings account, but it’s just for healthcare costs. You can only get one if you have a High Deductible Health Plan (HDHP), which is a specific type of health insurance.

How It Works:

  • You and maybe your employer can put money into your HSA. This money is like your healthcare piggy bank.
  • You can use this piggy bank to pay for things like doctor visits, prescriptions, and even some dental and vision costs.
  • The cool part is, the money you put into your HSA is usually tax-free. So, you save on taxes while saving for healthcare.

Benefits:

  • Tax Perks: You get a tax deduction for the money you put in, and when you use it for qualified medical expenses, it’s tax-free.
  • It’s Yours: Unlike some other accounts tied to your job, the money in your HSA is yours to keep, even if you change jobs.
  • Investment Options: You can even invest your HSA money, potentially making it grow over time.

Drawbacks:

  • High Deductible: To have an HSA, you need a High Deductible Health Plan, which means you pay more out of pocket before insurance kicks in.
  • Limited Use: You can only use the HSA money for healthcare expenses, so no splurging on a vacation.
  • Rules to Follow: There are some rules about how much you can put in and what you can use the money for, so it’s good to stay informed.

In a nutshell, an HSA is a handy way to save for healthcare while scoring some tax benefits, but it comes with the trade-off of a high deductible health plan and some rules to follow.

What expenses are covered by an HSA?

Your Health Savings Account (HSA) is pretty flexible when it comes to covering medical expenses. It’s like your healthcare wallet, but with some rules. Here’s how it works:

Covered Expenses:

  1. Doctor Visits: Regular check-ups, specialist visits, and even urgent care visits are usually eligible expenses.
  2. Prescriptions: Medications prescribed by your doctor can be paid for with your HSA funds.
  3. Dental Care: Things like cleanings, fillings, braces, and even dental surgery can be covered.
  4. Vision Care: Eye exams, glasses, contacts, and even laser eye surgery might be on the list.
  5. Hospital Services: If you need to stay in a hospital, most costs should be covered.
  6. Mental Health: Therapy and counseling sessions are often eligible expenses.
  7. Medical Equipment: Items like crutches, blood pressure monitors, or even a wheelchair can be purchased using your HSA.

Who Decides What’s Eligible?

The IRS (Internal Revenue Service) sets the rules for what expenses can be covered by your HSA. They have a pretty comprehensive list, but sometimes it’s open to interpretation. Your HSA provider or your HR department can help you understand if a specific expense is eligible.

Where to Find More Info: If you want a detailed list of everything covered by your HSA, your best bet is to check with your HSA provider. They often have resources and guides that can give you the lowdown on eligible expenses. You can also visit the IRS website or talk to a tax advisor for more in-depth information.

Remember, the key is to use your HSA funds for qualified medical expenses to keep those tax benefits intact. It’s like your secret weapon for managing healthcare costs!

Medical Expenses

  • Doctor visits, check-ups, and specialist appointments.
  • Prescription medications.
  • Hospital services, including surgeries and inpatient care.
  • Mental health services like therapy or counseling.
  • Medical equipment such as crutches or blood pressure monitors.
  • Preventive care like vaccinations and screenings.

Dental Expenses

  • Dental check-ups and cleanings.
  • Fillings, crowns, and root canals.
  • Braces and orthodontic treatments.
  • Dental surgery when necessary.
  • Dentures or dental implants.
  • Emergency dental care.

Vision Expenses

  • Routine eye exams.
  • Eyeglasses, frames, and lenses.
  • Contact lenses and related supplies.
  • Corrective eye surgery like LASIK.
  • Prescription sunglasses.
  • Treatment for eye conditions and diseases.

Other Expenses

Here’s a breakdown of some other common expenses that your Health Savings Account (HSA) can often cover, in a conversational and easy-to-understand way:

  • Family Planning: If you’re planning to start or expand your family, your HSA can help. Expenses related to fertility treatments, contraception, and even pregnancy test kits may be eligible for HSA funds.
  • Postpartum Care: After welcoming a new addition to the family, your HSA can assist with postpartum care expenses. This may include things like breastfeeding supplies, breast pumps, and postpartum recovery items.
  • Healthcare Travel: Sometimes, getting to your healthcare provider isn’t as simple as a short drive. Your HSA can cover certain travel expenses, such as mileage to and from medical appointments, and even parking fees.
  • Over-the-Counter Medication: Your HSA isn’t limited to prescription medications. You can also use it to purchase over-the-counter (OTC) medications like pain relievers, allergy meds, or even first-aid supplies. Just keep your receipts for documentation.
  • Alternative Therapies: If you’re exploring alternative or complementary therapies, such as acupuncture, chiropractic care, or certain types of massage therapy, your HSA can often help cover those costs.
  • Medical Supplies: Need medical supplies for managing a chronic condition? Your HSA can assist with the expenses of items like insulin, diabetic testing supplies, and even bandages and braces.

Remember that the rules regarding HSA-eligible expenses can vary, so it’s a good idea to check with your HSA provider or review IRS guidelines to ensure that the specific expenses you have in mind are covered. Your HSA is a versatile tool for managing a wide range of healthcare needs.

Ineligible HSA expenses

Let’s talk about some common expenses that, unfortunately, aren’t eligible under your Health Savings Account (HSA). It’s important to know these to make the most of your HSA funds:

  • Exercise Equipment: While staying fit is important, buying exercise equipment like treadmills or weights isn’t considered a qualified medical expense for your HSA. It’s more of a personal fitness choice.
  • Cosmetic Treatments: Cosmetic treatments, like teeth whitening, hair transplants, or plastic surgery for purely aesthetic reasons, typically don’t make the HSA cut. Your HSA is more focused on medical necessities.
  • Funeral Costs: As much as we wish we didn’t have to think about it, funeral expenses aren’t eligible HSA expenses. Your HSA is designed to help with healthcare while you’re alive and kicking.
  • Vitamins and Supplements: Everyday vitamins and supplements that you can buy without a prescription usually don’t qualify. They’re considered more of a general wellness choice.
  • Alternative Medicine for Non-Medical Reasons: If you’re exploring alternative or holistic therapies for general well-being rather than treating a specific medical condition, those expenses may not be eligible.
  • Health Club Memberships: While exercise is great for your health, memberships to health clubs or gyms are typically not covered by your HSA. It’s about where you exercise, not the exercise itself.

It’s important to remember, these rules can vary, and sometimes there are exceptions, so it’s wise to check with your HSA provider or review IRS guidelines if you have any doubts about whether an expense qualifies. Your HSA is there to help with your healthcare needs, but it has its limits too.