Using Your HSA Card: Eligible vs. Ineligible Expenses

Guide detailing which expenses can be covered by a Health Savings Account (HSA), distinguishing between medical necessities and non-covered items.

I Using Your HSA Card: Eligible vs. Ineligible Expenses I Common Eligible Expenses I Doctor Visits & Copays – Primary care, specialists, urgent care I Prescription Medications – With a valid prescription I Dental Care – Cleanings, fillings, braces, dentures I Vision Care – Eye exams, glasses, contact lenses, LASIK I Hospital & Surgery Costs – Deductibles, copays, coinsurance I Therapy & Counseling – If medically necessary I Medical Equipment & Supplies – Crutches, bandages, monitors, breast pumps, CPAP machines II Chiropractic & Acupuncture – If medically necessary I Ambulance Services – Emergency medical transportation I Common Ineligible Expenses I Cosmetic Procedures – Teeth whitening, Botox, elective cosmetic surgery I General Health Items – Vitamins, supplements (unless prescribed for a condition) II Gym Memberships & Fitness Programs – Unless prescribed with medical necessity documentation I Non-Medical Personal Items – Toiletries, cosmetics, skin care not prescribed II Non-Medical Services – Childcare, nursing services not related to medical care I Transportation Costs – Gas, mileage (unless specifically medical transportation) I Key Takeaways • IIIII Your spouse and dependents can use your HSA card for eligible medical, dental, and vision expenses. • I Always keep receipts in case documentation is requested. • II Using the card for ineligible purchases can require you to reimburse the HSA.