You’ve been diligently contributing to your Health Savings Account (HSA), watching the balance grow. It’s a smart move for your financial health, but you might be wondering about the rules for spending it. Knowing exactly what you can use your health savings account for is the key to maximizing this powerful tool and avoiding any surprises.
An HSA is a special triple-tax-advantaged account designed to help you pay for qualified medical expenses. The money you contribute is tax-free, it grows tax-free, and when used for eligible costs, it’s withdrawn tax-free. Let’s clear up the confusion about where those dollars can go.
A Guide to What You Can Use Your Health Savings Account For
Your HSA is quite flexible when it comes to healthcare costs. You can use it for a wide range of expenses for yourself, your spouse, and your tax dependents. Common eligible items include doctor visit copays, prescription medications, dental treatments like fillings and cleanings, and vision care such as glasses, contact lenses, and eye exams. It also covers services like physical therapy, mental health care, and diagnostic tests like X-rays and lab work.
Surprising Eligible Expenses You Might Not Know
Beyond the basics, your HSA can pay for many everyday health items. This includes over-the-counter drugs and medicines (like pain relievers and allergy medication), feminine care products, and sunscreen. You can also use it for medical equipment and supplies, such as first aid kits, bandages, and blood sugar test kits. Even certain travel costs related to medical care, like mileage to and from appointments, can be reimbursed.
What Your HSA Can’t Pay For
It’s just as important to know what isn’t covered. Generally, you cannot use your HSA for cosmetic procedures, like teeth whitening or elective plastic surgery. It also can’t be used for general health club memberships or programs that are merely beneficial to general health. Using your funds for non-qualified expenses before age 65 will result in income tax plus a 20% penalty.
Smart Strategies for Your HSA Funds
For the best financial outcome, consider treating your HSA less like a spending account and more like a retirement savings vehicle. If your budget allows, pay for smaller medical bills out-of-pocket and let your HSA funds grow and compound over time through investments. Always keep your receipts for any medical expenses you pay for yourself, as you can reimburse yourself from your HSA at any time in the future, even years later.
Your HSA is a versatile and powerful financial resource for managing healthcare costs throughout your life. By understanding the rules, you can confidently use it to cover a broad spectrum of medical needs, reduce your taxable income, and build a nest egg for future health expenses in retirement.

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