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Health Savings Accounts - Qualified HSA Expenses

Even though you receive a tax deduction by putting your money into a health savings account, the money is still yours to spend tax free, as long as you spend it on qualified medical expenses. With an HSA-compatible plan, this includes any expenses you incur from going to the doctor, purchasing prescription drugs, or paying other expenses toward your deductible. Once your deductible is met, the health insurance covers your medical expenses as defined in the policy.

In addition to being able to withdraw your money tax free to cover these types of expenses (which might otherwise be covered by a traditional low-deductible high-premium policy), you can use your HSA account to cover other costs that would not normally be covered by a health insurance policy. Below is a list of the most common HSA qualified expenses:

HSA Qualified Expenses

AcupunctureHearing aidsPost-nasal treatments
Alcoholism treatmentLaboratory feesPrenatal care
AmbulanceLasik surgeryPrescriptions
Artificial limbLearning disability fees (prescription)Prosthesis
Artificial teethLife-care feesPSA test
BandagesLodging (for out-patient treatment)Psychiatric care
Birth control pills (prescription)Long-term care (medical expenses)Psychiatrist
Breast reconstructionLong-term care insurancePsychoanalysis
Car special hand controls(for disability)Meals (while receiving treatment)Psychoanalyst
ChiropractorsMedical conferences (for ill spouse/dependent)Psychologist
Christian Science practitionersMedicare deductiblesRadium treatment
COBRA premiumsNursing careSmoking cessation programs
Contact lensesObsetricianSpecial education for children
Cosmetic surgery (from trauma or disease)Operating Room CostsSpinal tests
CrutchesOrgan transplantSplints
Dental treatmentOrthodontureSterilization
DermatologistOrthopedic shoesTelephone & TV for hearing impaired
Diagnostic devicesOrthopedistTransportation expenses for treatment
Disabled dependent careOut-of-pocket expenses (Medicare)Vaccines
Drug addiction treatment (inpatient)Over-the-counter medicineVitamins (if prescribed)
EyeglassesOxygen and equipmentWheelchair
Fertility enhancementPediatricianWeight loss programs
Guide dogPersonal care services (for ill)Wig (hair loss from disease)
Gynecologist DeductiblePodiatristX-rays
Health institute (if prescribed)Post-nasal treatments

Insurance Premiums That Qualify as HSA Expense

Most insurance premiums do not qualify as a health-savings-account expense, but there are a few including:

Expenses NOT Eligible for under an HSA

The following are expenses that are often mistaken as qualified HSA expenses, but are NOT eligible: