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HSA Eligible Expenses

You can save up to 40 percent on an extensive range of eligible expenses with a Health Savings Account (HSA). This list includes products and services that are typically covered by most HSAs. Click on the WageWorks logo above and enter your username and password to see your employer's complete list of eligible expenses.

Yes (Letter) = In addition to the required detailed receipt, you will need to submit a Letter of Medical Necessity (click here for form to be completed by your doctor) to verify this expense is a medically-necessary treatment for a known medical condition.

Yes (Rx) = In addition to the required detailed receipt, you will need to submit an actual prescription written by your doctor (on a prescription pad or form) dated on or before the date you incurred the expense to verify this over-the-counter medicine is prescribed for a known medical condition.

Documentation is not required to receive payment from your HSA through WageWorks utilizing the Pay Me Back feature; however, accountholders are required by the IRS to keep all relevant documentation for their tax records.

Click on a letter to view expenses that begin with that letter.

 

 

HSA

 

01 - Rx (prescription)

Yes

 

02 - Co-payment (medical)

Yes

 

03 - Office visit (medical)

Yes

 

04 - Dental

Yes

 

05 - Over-the-counter (drugs and medicines)

Yes (Rx)

 
06 - Contact lenses and solutions

Yes

 

07 - Vision

Yes

 
08 -Psych / therapy

Yes

 

09 - Chiropractic care

Yes

 

10 - Lab (medical)

Yes

 

11 - Orthodontia

Yes

 

12 - Hospital fees

Yes

 

13 - X-ray (medical)

Yes

 

Acne treatments (over-the-counter)

Yes (Rx)

 

Acupuncture

Yes

Adoption (medical expenses related to)

Yes

 

Adoption fees

No

 

Alcoholism treatment

Yes

 

Allergy and sinus medicine and products (over-the-counter)

Yes (Rx)

 

Allergy medication

Yes (Rx)

 

Allergy treatments and products

Yes (Letter)

 

Alternative dietary supplements (for treatment of a medical condition)

Yes (Letter)

 

Alternative drugs, medicines and treatment products (for treatment of a medical condition)

Yes (Letter)

 

Alternative healers (for treatment of a medical condition)

Yes (Letter)

 

Ambulance and emergency health services

Yes

 

Anesthesia (for non-cosmetic purposes)

Yes

 

Antacid (over-the-counter)

Yes (Rx)

 

Antibiotic ointment (over-the-counter)

Yes (Rx)

 

Aspirin or other pain reliever (over-the-counter)

Yes (Rx)

 

Asthma medicines or treatments (over-the-counter)

Yes (Rx)

 

Athletic treatments / braces

Yes

 

Bandages and related items (over-the-counter)

Yes

 

Birth control (over-the-counter)

Yes (Rx)

Birth control (prescription)

Yes

 

Blood pressure monitor

Yes

 

Body scans

Yes

 

Braille books and magazines (difference in cost only)

Yes

 

Breastfeeding classes

Yes

 

Breast pump (for a lactating woman)

Yes

 

Breast reconstruction surgery (following mastectomy)

Yes (Letter)

 

COBRA premiums (dental; paid with after-tax dollars only)

Yes

 

COBRA premiums (medical; paid with after-tax dollars only)

Yes

COBRA premiums (other; paid with after-tax dollars only)

Yes

 

COBRA premiums (prescription; paid with after-tax dollars only)

 Yes

 

COBRA premiums (vision; paid with after-tax dollars only)

Yes

 

Cancer (fixed indemnity) insurance premiums

No

 

Canker and cold sore treatments (over-the-counter)

Yes (Rx)

 

Car modifications (as required for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

 

Chest rubs (over-the-counter)

Yes (Rx)

 

Child or newborn care instruction

No

 

Childbirth classes (charges for mother only)

Yes

 

Chiropractic office visit or treatment

Yes

 

Christian Science practitioners

Yes

 

Cholesterol test kits and supplies

Yes

 

Co-insurance (dental)

Yes

 

Co-insurance (medical)

Yes

 

Co-insurance (prescription)

Yes

 

Co-insurance (vision)

Yes

 

Co-payment (dental)

Yes

 

Co-payment (medical)

Yes

 

Co-payment (other)

Yes

 

Co-payment (vision)

Yes

 

Cold and flu medicine (over-the-counter)

Yes (Rx)

 

Cold cream (over-the-counter)

No

 

Compression or anti-embolism socks, stockings or hose

Yes (Letter)

 

Concierge medical fees (billed for actual services received)

Yes

 

Concierge medical fees (billed for future availability of services, with no services actually received)

No

 

Condoms

Yes

 

Contraceptives (prescription)

Yes

 

Contraceptives (over-the-counter)

Yes (Rx)

 

Cord blood storage (for future treatment of a birth defect or known medical condition)

Yes (Letter)

 

Cord blood storage (for unidentified future use)

No

 

Corn and callus remover (over-the-counter)

Yes (Rx)

 

Corneal keratotomy

Yes

 

Cosmetic procedures or surgery

No

 
Cosmetic procedures or surgery for birth defects, accidents, and/or disease

Yes (Letter)

 

Cough drops and sore throat lozenges (over-the-counter)

Yes (Rx)

 

Cough syrup (over-the-counter)

Yes (Rx)

 

Counseling (for treatment of a medical condition)

Yes

 
Counseling (marriage)

No

 

CPR classes (adult or child)

No

 

Crutches, canes, walkers or like equipment (purchase or rental)

Yes

Dancing lessons (for treatment of a medical condition)

Yes (Letter)

 

Deductible for dental plan

Yes

 

Deductible for medical plan

Yes

 

Deductible for prescription plan

Yes

 

Deductible for vision plan

Yes

 

Dental care (for non-cosmetic purposes, including sealants)

Yes

 

Dental co-insurance

Yes

 

Dental co-payment

Yes

 

Dental insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Dental products (for treatment of a dental condition and/or general health)

No

 

Dental reconstruction (including implants)

Yes

 

Dental veneers

Yes (Letter)

 

Dentures, bridges, etc.

Yes

 
Dermatology treatments and products

Yes (Letter)

 

Diabetic monitors, test kits, strips and supplies

Yes

 

Diagnostic services (other than dental or vision)

Yes

 

Diagnostic services (dental or vision)

Yes

 

Diaper rash ointments and creams

Yes (Rx)

 

Diapers and diaper services

No

 

Dietary supplements (for treatment of a medical condition)

Yes (Letter)

 

Doula or birthing coach

Yes (Letter)

 

Drug addiction treatment

Yes

 

Drugs (imported)

No

 

Drugs (prescription)

Yes

 

Dyslexia treatment

Yes

 

Ear drops and wax removal (over-the-counter)

Yes (Rx)

Electrolysis

No

 

Emergency kits (over-the-counter)

No

 

Exercise equipment or program (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

 
Eye drops and treatments (over-the-counter)

Yes (Rx)

 

Eye examinations

Yes

 

Eye related equipment/materials

Yes

 

Eye surgery or treatment to correct vision

Yes

 

Eyeglasses (over-the-counter)

Yes

 

Eyeglasses (prescription)

Yes

 

Face lifts

No

Feminine hygiene products

No

 

Fertility monitor (over-the-counter)

Yes

 

Fertility treatment (for employee, spouse or dependent)

Yes

 

Fertility treatment (for non-dependent surrogate)

No

 

First aid kits (over-the-counter)

Yes

 

Fitness programs (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

 

Flu shots

Yes

 

Funeral expenses

No

 

Gastrointestinal medication (over-the-counter)

Yes (Rx)

Guide dog (dog, training, care)

Yes

 

Hair regrowth products

No

Hair removal

No

 

Hair transplant

No

 

Hair treatments

No

 

Hand lotion (over-the-counter)

No

 

Health club dues (as treatment for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

 

Health insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Health insurance or plan premiums (without regard to state or federal unemployment benefits or your age)

No

 

Health Savings Account (HSA) contributions

No

 

Hearing aids and batteries

Yes

 

Herbal or homeopathic medicines (over-the-counter)

Yes (Letter)

 

Home improvements (as required for a medical condition diagnosed by a licensed health care professional)

Yes (Letter)

 

Hospital (fixed indemnity) insurance premiums

No

 

Hospital services and fees

Yes

 

Household help

No

 

Humidifier, air filter and supplies

Yes (Letter)

 

Illegal operations or substances

No

Immunizations

Yes

 

Incontinence supplies

Yes

 

Individual dental insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Individual insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Individual medical insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Individual prescription insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Individual vision insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Infertility treatment (for employee, spouse or dependent)

Yes

 

Insulin, testing materials and supplies

Yes

 

Insurance or health insurance / plan premiums (paid with after-tax dollars only)

Yes

 
Insurance / plan premiums (paid with pre-tax dollars)

No

 

Laboratory fees

Yes

Lactose intolerance (over-the-counter)

Yes (Rx)

 

Lamaze classes (charges for mother only)

Yes

 

Laser eye surgery

Yes

 

Lasik

Yes

 

Late payment fees charged by health care provider

No

 

Laxatives (over-the-counter)

Yes (Rx)

 

Learning disability treatments

Yes

 

Lice treatment (over-the-counter)

Yes (Rx)

 

Listening therapy

Yes

 

Lodging (limited to $50 per night for patient to receive medical care and $50 per night for one caregiver)

Yes (Letter)

 

Long-term care premiums (up to IRS tax-free limit, see IRS Publication 502)

Yes

 

Long-term care services

Yes

 

Long-term disability insurance premiums

No

 

Magnetic therapy (over-the-counter)

Yes (Letter)

Marriage counseling

No

 

Massage therapy (for treatment of a medical condition)

Yes (Letter)

 

Mastectomy-related special bras

Yes

 

Maternity clothes

No

 

Medical abortion

Yes

 

Medical co-insurance

Yes

 

Medical co-payment

Yes

 

Medical equipment (for treatment of medical condition) and repairs

Yes

 

Medical insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Medical literature, books, pamphlets or audio

No

 

Medical monitoring and testing devices

Yes

 

Medical records charges

Yes

 

Medical savings account (MSA) contributions

No

 

Medical supplies (for treatment of a medical condition)

Yes

 

Medicare alternative insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Medicare Part B insurance / plan premiums

Yes

 

Medicare alternative insurance / plan premiums (vs. Part A & Part B, paid with after-tax dollars only)

Yes

 

Medicare supplement policy premiums

No

 

Medicines (over-the-counter)

Yes (Rx)

 

Medicines (prescription)

Yes

 

Midwife

Yes

 
Mileage (for travel to / from anything other than eligible care)

No

 

Mileage (for travel to / from eligible health care)

Yes

 

Modified equipment (difference in cost only)

Yes (Letter)

 

Monitors and test kits (over-the-counter)

Yes

 

Motion and nausea

Yes (Rx)

 

Nasal sprays

Yes (Rx)

 

Nasal strips (over-the-counter)

Yes (Rx)

No show fees charged by health care provider

No

 
Non-prescription drugs and medicines (for non-cosmetic purposes)

Yes (Rx)

 

Norplant insertion or removal

Yes

 

Nursing services (wages and taxes)

Yes

 

Nutritional supplements (for treatment of a medical condition)

Yes (Letter)

 

OB/GYN fees

Yes

 

Occlusal guards to prevent teeth grinding

Yes

 

Occupational therapy (related to a medical condition or disability)

Yes

Office visits (chiro)

Yes

 

Office visits (dental)

Yes

 

Office visits (medical)

Yes

 

Office visits (psych/therapy)

Yes

 

Office visits (vision)

Yes

 

Operations (for non-cosmetic purposes)

Yes

 

Operations (for vision and dental only)

Yes

 

Optometrist / ophthalmologist fees

Yes

 

Organ transplants (recipient and donor)

Yes

 

Orthotics

Yes

 

Ortho keratotomy

Yes

 

Orthodontia (braces and retainers)

Yes

 

Orthopedic and surgical supports

Yes

 

Orthopedic shoes and inserts (difference in cost only of specialized orthopedic shoe over like non-specialized shoe)

Yes (Letter)

 

Over-the-counter acne treatments

Yes (Rx)

 

Over-the-counter allergy and sinus medicine

Yes (Rx)

 

Over-the-counter antacid

Yes (Rx)

 

Over-the-counter antibiotic ointment

Yes (Rx)

 

Over-the-counter aspirin or other pain reliever

Yes (Rx)

 

Over-the-counter asthma medicines or treatments

Yes (Rx)

 

Over-the-counter bandages and related items

Yes

 

Over-the-counter canker and cold sore treatments

Yes (Rx)

 

Over-the-counter chest rubs

Yes (Rx)

 

Over-the-counter cold and flu medicine

Yes (Rx)

 

Over-the-counter cold and flu prevention

Yes (Rx)

 

Over-the-counter cold cream

No

 

Over-the-counter cough drops and sore throat lozenges

Yes (Rx)

 

Over-the-counter cough syrup

Yes (Rx)

 

Over-the-counter health care products (eligible)

Yes

 

Over-the-counter health care products (not eligible)

No

 

Over-the-counter medication (including for motion sickness, sleep aids and sedatives)

Yes (Rx)

 

Over-the-counter products for dental, oral and teething pain

Yes (Rx)

 

Over-the-counter products for general dental care

No

 
Over-the-counter vision products

Yes

 

Ovulation monitor (over-the-counter)

Yes

 

Oxygen

Yes

 

Pain reliever (over-the-counter)

Yes (Rx)

 

Parental fees (billed for actual services received; for disabled children)

Yes

Parental fees (billed for future availability of services, with no services actually received; for disabled children)

No

 

Personal use items (toothbrush, toothpaste, etc.)

No

 

Physical exams

Yes

 

Physical therapy

Yes

 

Physician retainer fee (for on-call or concierge services)

No

 

Pregnancy tests (over-the-counter)

Yes

 

Prescription co-insurance

Yes

 

Prescription co-payment

Yes

 

Prescription drugs (for non-cosmetic purposes)

Yes

 

Prescription drugs for cosmetic purposes

No

 

Prescription drugs for hair regrowth

No

 

Prescription insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Propecia (for treatment of a medical condition)

Yes (Rx)

 

Prosthesis

Yes

 

Psychiatric care

Yes

 

Psychoanalysis

Yes

 

Psychologist fees

Yes

 

Radial keratotomy (RK)

Yes

 

Reading glasses (over-the-counter)

Yes

 

Reconstructive surgery (following accident or medical procedure or condition)

Yes (Letter)

 

Removal of benign mole, cyst or tumor

Yes

Retainer fee (to physician for on-call or concierge services)

No

 

Retin-A (for non-cosmetic purposes)

Yes (Rx)

 

Rogaine or other hair regrowth medications (even if prescribed)

No

 

Sales tax, shipping and handling fees (for any eligible expense)

Yes

 

Smoking cessation (programs / counseling)

Yes

 

Smoking cessation drugs (prescription)

Yes

 

Smoking cessation gum or patches (over-the-counter)

Yes (Rx)

Special equipment

Yes (Letter)

 

Special foods (gluten-free, salt-free or other for treatment of a medical condition; difference in cost only)

Yes (Letter)

 

Special school (for mental and physical disabilities)

Yes (Letter)

 

Speech therapy

Yes

 

Spermicidals

Yes (Rx)

 

Sterilization

Yes

 

Student health fees for dental services (no services actually received; billed for future availability of services)

No

 

Student health fees for dental services (billed for actual services received)

Yes

 

Student health fees for medical services (no services actually received; billed for future availability of services)

No

 

Student health fees for medical services (billed for actual services received)

Yes

 

Student health fees for prescription services (no services actually received; billed for future availability of services)

No

 

Student health fees for prescriptions (billed for actual services received)

Yes

 

Student health fees for vision services (no services actually received; billed for future availability of services)

No

 

Student health fees for vision services (billed for actual services received)

Yes

 

Sunglasses (over-the-counter)

No

 

Sunglasses (prescription)

Yes

 

Sunscreen with SPF<15 or suntan lotion (over-the-counter)

No

 

Sunscreen with SPF 15+ and "broad spectrum", sunburn creams and ointments (over-the-counter)

Yes

 

Supplies (for treatment of a medical condition)

Yes

 

Surgery (for non-cosmetic purposes)

Yes

 

Swimming lessons (for treatment of a medical condition)

Yes (Letter)

 

Teeth bleaching or whitening

No

 

Teeth grinding prevention devices

Yes

 

Therapy (for treatment of a medical condition)

Yes

Toothache and teething pain reliever (over-the-counter)

Yes (Rx)

 
Toothpaste, medicated (difference in cost only of medicated toothpaste over the standard toothpaste)

Yes (Rx)

 

Toothpaste, toothbrush, floss, etc.

No

 

Transgender treatments/surgery

Yes (Letter)

 

Transportation, parking and related travel expenses (essential to receive eligible care)

Yes

 
Transportation, parking and related travel expenses, for non-eligible expenses

No

 

Tubal ligation

Yes

 

Tuition or educational classes

No

 
Tuition or educational classes (for a specific medical condition)

Yes (Letter)

 

Urological products

Yes

 

UV protection clothing

No

 

Vaccinations

Yes

Varicose vein removal surgery (for medical care)

Yes

 

Vasectomy

Yes

Viagra and similar prescription medications

Yes

 

Vision co-insurance

Yes

 

Vision co-payment

Yes

 

Vision insurance / plan premiums (paid with after-tax dollars only)

Yes

 

Vitamins (over-the-counter, for general health purposes)

No

 

Vitamins (prescription)

Yes

 

Walking aids (canes, walkers, crutches and related supplies)

Yes

 

Warranties or other charges for future anticipated services (with none actually received)

No

Wart removal treatments (over-the-counter)

Yes (Rx)

 

Weight loss counseling

Yes (Letter)

 

Weight loss foods

No

 

Weight loss program (to improve or maintain general health)

No

 

Weight loss program (for treatment of a medical condition)

Yes (Letter)

 

Weight loss drugs (for treatment of a medical condition)

Yes (Rx)

 

Wheelchair and repairs

Yes

Wound care (over-the-counter)

Yes

 

X-ray fees (dental)

Yes

 

X-ray fees (medical)

Yes

 

20121017

Rx: A prescription under state law is required for this item. Either a receipt with the Rx # identified or a receipt indicating a description of what was purchased and accompanied by a prescription from a provider on an Rx pad dated on or before the purchase should accompany the request for reimbursement.

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