HSA Qualified Expenses

Health Savings Accounts allow you to set up a tax-deductible account to pay for medical expenses that are not covered by your health insurance. These include expenses to cover your deductible, and to pay for alternative or preventive treatments that are not normally covered by most insurance policies. Below is a partial list of expenses deemed qualified by the IRS or federal courts. Consult IRS Publication 502 – Qualified Medical and Dental Expenses and your tax advisor for more complete information.

- Acupuncture - Eyeglasses and Examination Fees
- Orthopedic Shoes - excess costs
- Alcoholism - treatment - Halfway House - adjustment to mental hospital
- Oxygen / Oxygen Equipment
- Ambulance - hire

- Healing Services Fees
- Prosthesis
- Autoette or Wheelchair - Health Maintenance Organization
- Psychiatric Care
- Birth Control Pills - Hearing Aids
- Psychologists
- Blind Persons Services - Hospital Care
- Braces - Insulin
- Reclining Chair - for cardiac patients
- Capital Expenditures - home modifications for
handicapped - primary purpose must be medical care
- Laboratory Fees
- Remedial Reading
- Car Equipment - to accommodate wheelchair and/or handicapped controls - Laetrile - by prescription
- Retirement Home - lifetime medical care
- Childbirth Preparation Classes - mother - Lazer eye surgery
- Sanitarium Rest Home - medical, educational, rehabilitative services
- Chiropractors - Lead Paint Removal
- Schools - special, relief, or handicapped
- Christian Science Treatment - Learning-Disabled Person - costs for special home.
- Sexual Dysfunction Treatment
- Contact Lenses - replacement insurance - Lodging (treatment related, and with restrictions, up to $50 per person)
- Crutches - Medical conference fees (relating to chronic illness; no lodging or meals)
- Surgical Fees
- Deaf Persons - hearing aid and batteries, hearing aid animal and care, lip reading expenses, special education, modified telephone - Medicare Parts A and B
- Swimming Pool - treatment of polio or arthritis
- Dental Fees - Legal Expenses - authorizing treatment of
mental illness
- Teeth - artificial
- Dentures - Lifetime Medical Care - prepaid; retirement home - Television - closed-caption decoder
- Diagnostic Fees
- Limbs - artificial - Therapy Treatments - prescribed by a physician
- Diapers (adult disposable) - used due to severe neurological disease
- Mattress - prescribed for alleviation of arthritis
- Transportation - essentially and primarily for medical care
- Doctor's Fees
- Membership Fees - association furnishing medical services, hospitalization, and clinical
- Weight Loss Programs - as a treatment for the disease of obesity
- Domestic Aid - rendered by nurse
- Nursing Home - medical reasons
- Wheelchair or Autoette
- Drug Addiction Recovery
- Nursing Services - board and Social Security
paid by taxpayers
- X-rays
- Drugs - prescription
- Obstetrical Expenses Mileage
- Dyslexia Language Training
- Operations - legal
- Stop smoking programs
- Elevator for Alleviation of Cardiac Condition
- Optometrists
- Eyeglasses and Examination Fees
- Orthodontia
- Vision correction

Note: Over-the-counter drugs are no longer considered qualified expenses unless prescribed by a doctor.

Note on compliance with your health plan:

This site describes basic information on services and benefits of the many HSA Accounts available. It is not intended to provide legal, health, or tax advice. Consult your own legal, medical, and tax counsel for guidance on issues that may be affected by your specific circumstances. Please note that if you intend to use the HSA Account to pay your deductible or other services covered under your health care plan, we strongly recommend that you always comply with the conditions of your plan, including your pre-certification requirement.


  • Plans approved and authorized under the Affordable Care Act
  • Covers Pre-Existing conditions
  • Low cost subsidized plans available to those earning
    < 400% of the federal poverty level
  • Unlimited lifetime benefits
  • Available during open enrollment (November 1 – January 15), or if you qualify for a Special Enrollment Period

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  • Not health insurance, but a way for like-minded individuals to share medical expenses
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