HSA Eligible Expenses
The IRS determines which expenses are eligible for reimbursement. Eligible expenses include health plan copayments, dental work and orthodontia, eyeglasses and contact lenses, and prescriptions.
Letter
In addition to the required detailed receipt, you will need to submit a Letter of Medical Necessity, signed by your doctor, to verify this expense is a medically-necessary treatment for a known medical condition.
Rx
Mandates require you submit an actual prescription from your doctor, in addition to the required detailed receipt. The prescription must be written by your doctor (on a prescription pad or form) and dated on or before the date you incurred the expense to verify this over-the-counter medicine is prescribed for a known medical condition.
Eligibility Legend
Search HSA
Expenses | Eligible |
No Results | |
Acne treatments (over-the-counter) | ![]() |
Acupunture | ![]() |
Adoption (medical expenses related to) | ![]() |
Adoption fees | |
Alcoholism treatment | ![]() |
Allergy and sinus medicine and products (over-the-counter) | ![]() |
Allergy medication | ![]() |
Allergy products | ![]() |
Alternative dietary supplements (for treatment of a medical condition) | ![]() |
Alternative drugs, medicines and treatment products (for treatment of a medical condition) | ![]() |
Alternative healers (for treatment of a medical condition) | ![]() |
Ambulance and emergency health services | ![]() |
Anesthesia (for noncosmetic purposes) | ![]() |
Antacid (over-the-counter) | ![]() |
Antibiotic ointment (over-the-counter) | ![]() |
Aspirin or other pain reliever (over-the-counter) | ![]() |
Asthma medicines or treatments (over-the-counter) | ![]() |
Athletic brace support (ankle, elbow, wrist, knee etc. - for medical condition) | ![]() |
Bandages and related items (over-the-counter) | ![]() |
Birth control (over-the-counter) | ![]() |
Birth control (prescription or other) | ![]() |
Blood pressure monitor | ![]() |
Body scans | ![]() |
Braille books and magazines (difference in cost only) | ![]() |
Breast pump and supplies | ![]() |
Breast Pumps & Accessories | ![]() |
Breast reconstruction surgery (following mastectomy) | ![]() |
Breastfeeding classes | ![]() |
Canker and cold sore treatments (over-the-counter) | ![]() |
Car modifications (as required for a medical condition diagnosed by a licensed healthcare professional) | ![]() |
CBD Oil products | |
Chest rubs (over-the-counter) | ![]() |
Child or newborn care instruction | |
Childbirth classes (charges for mother only) | ![]() |
Chiropractic care | ![]() |
Chiropractic office visit or treatment | ![]() |
Cholesterol test kits and supplies | ![]() |
Christian Science practitioners | ![]() |
COBRA premiums (dental; paid with after-tax dollars only) | ![]() |
COBRA premiums (medical; paid with after-tax dollars only) | ![]() |
COBRA premiums (other; paid with after-tax dollars only) | ![]() |
COBRA premiums (prescription; paid with after-tax dollars only) | ![]() |
COBRA premiums (vision; paid with after-tax dollars only) | ![]() |
Co-insurance (dental) | ![]() |
Co-insurance (medical) | ![]() |
Co-insurance (prescription) | ![]() |
Co-insurance (vision) | ![]() |
Cold and flu medicine (over-the-counter) | ![]() |
Cold and flu prevention (over-the-counter) | ![]() |
Cold cream (over-the-counter) | |
Compression or anti-embolism socks, stockings or hose | ![]() |
Concierge medical fees (billed for actual services received) | ![]() |
Concierge medical fees (billed for future availability of services, with no services actually received) | |
Condoms | ![]() |
Contraceptives (prescription) | ![]() |
Contraceptives drugs and medicine | ![]() |
Copayment (dental) | ![]() |
Copayment (medical) | ![]() |
Copayment (prescription) | ![]() |
Copayment (vision) | ![]() |
Cord blood storage (for future treatment of a birth defect or known medical condition) | ![]() |
Cord blood storage (for unidentified future use) | |
Corn and callus remover (over-the-counter) | ![]() |
Corneal keratotomy | ![]() |
Cosmetic procedures or surgery | |
Cosmetic procedures or surgery for birth defects, accidents, and/or disease | ![]() |
Cough drops and sore throat lozenges (over-the-counter) | ![]() |
Cough syrup (over-the-counter) | ![]() |
Counseling (for treatment of a medical condition) | ![]() |
Counseling (marriage) | |
COVID testing | ![]() |
CPR classes (adult or child) | |
Crutches, canes, walkers or like equipment (purchase or rental) | ![]() |
Dancing lessons (for treatment of a medical condition) | ![]() |
Deductible for dental plan | ![]() |
Deductible for medical plan | ![]() |
Deductible for prescription plan | ![]() |
Deductible for vision plan | ![]() |
Dental care (for non-cosmetic purposes, including sealants) | ![]() |
Dental insurance/plan premiums (paid with after-tax dollars only) | |
Dental products for general health | |
Dental reconstruction (including implants) | ![]() |
Dental veneers | ![]() |
Dental, oral, and teething pain products (over-the-counter) | ![]() |
Dentures, bridges, etc. | ![]() |
Dermatology treatments and products | ![]() |
Diabetic monitors, test kits, strips and supplies | ![]() |
Diagnostic services (dental or vision) | ![]() |
Diagnostic services (other than dental or vision) | ![]() |
Diaper rash ointments and creams (over-the-counter) | ![]() |
Diapers and diaper services | |
Dietary supplements (for treatment of a medical condition) | ![]() |
Doula or birthing coach | ![]() |
Drug addiction treatment | ![]() |
Drugs (imported) | |
Drugs (prescription) | ![]() |
Dyslexia treatment | ![]() |
Ear drops and wax removal (over-the-counter) | ![]() |
Electrolysis | |
Exercise equipment or program (as treatment for a medical condition diagnosed by a licensed healthcare professional) | ![]() |
Eye drops and treatments (over-the-counter) | ![]() |
Eye examinations | ![]() |
Eye related equipment/materials | ![]() |
Eye surgery or treatment to correct vision | ![]() |
Eyeglasses (over-the-counter) | ![]() |
Eyeglasses (prescription) | ![]() |
Face lifts | |
Face masks (which include multiple layers of non-woven material and nose wire; examples include N95, KN95 and disposable face masks | ![]() |
Feminine hygiene care (Deodorants, General Cleansing Products, Feminine Spray) | |
Fertility monitor (over-the-counter) | ![]() |
Fertility treatment (for employee, spouse or dependent) | ![]() |
Fertility treatment (for non-dependent surrogate) | |
First aid kits (over-the-counter) | ![]() |
Fitness programs (as treatment for a medical condition diagnosed by a licensed healthcare professional) | ![]() |
Flu shots | ![]() |
Funeral expenses | |
Gastrointestinal medication (over-the-counter) | ![]() |
Gloves | |
Guide dog (dog, training, care) | ![]() |
Hair regrowth products as treatment for medical condition | ![]() |
Hair removal | |
Hair transplant | |
Hair treatments | ![]() |
Hand lotion (over-the-counter) | |
Hand Sanitizers and Hand Sanitizing Wipes (must be 60%+ alcohol base to qualify) | ![]() |
Health club dues (as treatment for a medical condition diagnosed by a licensed healthcare professional) | ![]() |
Health insurance or plan premiums (without regard to state or federal unemployment benefits or your age) | |
Health insurance or plan premiums while receiving unemployment benefits | ![]() |
Health insurance/plan premiums (paid with after-tax dollars only) | |
Health Savings Account (HSA) contributions | |
Hearing aids and batteries | ![]() |
Herbal or homeopathic medicines (over-the-counter) | ![]() |
Home improvements (as required for a medical condition diagnosed by a licensed healthcare professional) | ![]() |
Hospital (fixed indemnity, $x per day) insurance premiums | |
Hospital services and fees | ![]() |
Household help | |
Humidifier, air filter and supplies | ![]() |
Illegal surgeries or substances | |
Immunizations | ![]() |
Incontinence supplies | ![]() |
Individual medical insurance/plan premiums (paid with after-tax dollars only) | |
Individual prescription insurance/plan premiums (paid with after-tax dollars only) | |
Individual vision insurance/plan premiums (paid with after-tax dollars only) | |
Infertility treatment (for employee, spouse or dependent) | ![]() |
Insulin, testing materials and supplies | ![]() |
Insurance or health insurance / plan premiums (paid with after-tax dollars only) | ![]() |
Insurance/plan premiums (paid with pre-tax dollars) | |
Lab (medical) | ![]() |
Laboratory fees | ![]() |
Lactose intolerance medication (over-the-counter) | ![]() |
Lamaze classes (charges for mother only) | ![]() |
Laser eye surgery | ![]() |
Lasik | ![]() |
Late payment fees charged by healthcare provider | |
Laxatives (over-the-counter) | ![]() |
Learning disability treatments | ![]() |
Lice treatment (over-the-counter) | ![]() |
Lodging (limited to $50 per night for patient to receive medical care and $50 per night for one caregiver) | ![]() |
Long-term care premiums (up to IRS tax-free limit, see IRS Publication 502) | ![]() |
Long-term care services | ![]() |
Long-term disability insurance premiums | |
Marriage counseling | |
Masks (examples include gaiters, face shields, and masks with vents and valves) | |
Massage therapy (for treatment of a medical condition) | ![]() |
Mastectomy-related special bras | ![]() |
Maternity clothes | |
Medical abortion | ![]() |
Medical equipment (for treatment of medical condition) and repairs | ![]() |
Medical literature, books, pamphlets or audio | ![]() |
Medical Marijuana | |
Medical monitoring and testing devices | ![]() |
Medical records charges | ![]() |
Medical savings account (MSA) contributions | |
Medical supplies (for treatment of a medical condition) | ![]() |
Medicare alternative insurance/plan premiums (paid with after-tax dollars only) | ![]() |
Medicare alternative insurance/plan premiums (vs. Part A & Part B, paid with after-tax dollars only) | ![]() |
Medicare Part B insurance | ![]() |
Medicare supplement policy premiums | |
Medicines (over-the-counter) | ![]() |
Medicines (prescription) | ![]() |
Midwife | ![]() |
Mileage (for travel to/from anything other than eligible care) | |
Mileage (for travel to/from eligible healthcare) | ![]() |
Modified equipment (difference in cost only) | ![]() |
Monitors and test kits (over-the-counter) | ![]() |
Motion sickness medication (over-the-counter) | ![]() |
Nasal sprays and strips (over-the-counter) | ![]() |
No show fees charged by healthcare provider | |
Nonprescription drugs and medicines (for non-cosmetic purposes) | ![]() |
Norplant insertion or removal | ![]() |
Nursing services (wages and taxes) | ![]() |
Nutritional supplements (for treatment of a medical condition) | ![]() |
OB/GYN fees | ![]() |
Occlusal guards to prevent teeth grinding | ![]() |
Office visits (chiro) | ![]() |
Office visits (dental) | ![]() |
Office visits (medical) | ![]() |
Office visits (psych/therapy) | ![]() |
Office visits (vision) | ![]() |
Operations (for non-cosmetic purposes) | ![]() |
Operations (for vision and dental only) | ![]() |
Optometrist/ophthalmologist fees | ![]() |
Organ transplants (recipient and donor) | ![]() |
Ortho keratotomy and radial keratotomy (RK) | ![]() |
Orthodontia (braces and retainers) | ![]() |
Orthopedic (difference in cost only of specialized orthopedic shoe over like non-specialized shoe) | ![]() |
Orthopedic and surgical supports | ![]() |
Orthotics | ![]() |
Over-the-counter health care products (eligible) | ![]() |
Over-the-counter health care products (not eligible) | |
Over-the-counter medication (including for motion sickness, sleep aids and sedatives) | ![]() |
Over-the-counter products for dental, oral and teething pain | ![]() |
Over-the-counter products for general dental care | |
Over-the-counter vision products | ![]() |
Ovulation monitor (over-the-counter) | ![]() |
Oxygen | ![]() |
Pain reliever (over-the-counter) | ![]() |
Parental fees (billed for actual services received; for disabled children) | ![]() |
Parental fees (billed for future availability of services, with no services actually received; for disabled children) | |
Physical exams | ![]() |
Physical therapy | ![]() |
Physician retainer fee (for on-call or concierge services) | |
PPE | ![]() |
Pregnancy tests (over-the-counter) | ![]() |
Prescription co-insurance | ![]() |
Prescription co-payment | ![]() |
Prescription drugs (for non-cosmetic purposes) | ![]() |
Prescription drugs for cosmetic purposes | |
Prescription drugs for hair regrowth | |
Prescription insurance / plan premiums (paid with after-tax dollars only) | ![]() |
Propecia (for treatment of a medical condition) | ![]() |
Prosthesis | ![]() |
Psych/therapy | ![]() |
Psychiatric care | ![]() |
Psychoanalysis | ![]() |
Psychologist fees | ![]() |
Reading glasses (over-the-counter) | ![]() |
Reconstructive surgery (following accident or medical procedure or condition) | ![]() |
Removal of benign mole, cyst or tumor | ![]() |
Retainer fee (to physician for on-call or concierge services) | |
Retin-A (for non-cosmetic purposes) | ![]() |
Rogaine or other hair regrowth medications (even if prescribed) | |
Sales tax, shipping and handling fees (for any eligible expense) | ![]() |
Sanitizing Wipes (for surfaces – i.e. Clorox wipes and Lysol wipes) | |
Sleep aids | ![]() |
Sleep aids and sedatives (over-the-counter) | |
Smoking cessation (programs/counseling) | ![]() |
Smoking cessation drugs (prescription) | ![]() |
Smoking cessation gum or patches (over-the-counter) | ![]() |
Special equipment | ![]() |
Special foods (gluten-free, salt-free or other for treatment of a medical condition; difference in cost only) | ![]() |
Special school (for mental and physical disabilities) | ![]() |
Speech therapy | ![]() |
Spermicidals | ![]() |
Sterilization | ![]() |
Student health fees for dental services (billed for actual services received) | ![]() |
Student health fees for dental services (no services actually received; billed for future availability of services) | |
Student health fees for medical services (billed for actual services received) | ![]() |
Student health fees for medical services (no services actually received; billed for future availability of services) | |
Student health fees for prescription services (no services actually received; billed for future availability of services) | |
Student health fees for prescriptions (billed for actual services received) | ![]() |
Student health fees for vision services (billed for actual services received) | ![]() |
Student health fees for vision services (no services actually received; billed for future availability of services) | |
Sunglasses (over-the-counter) | |
Sunglasses (prescription) | ![]() |
Sunscreen with SPF <15 or suntan lotion (over-the-counter) | ![]() |
Sunscreen with SPF 15+ and broad spectrum, sunburn creams and ointments (over-the-counter) | ![]() |
Supplies (for treatment of a medical condition) | ![]() |
Surgery (for non-cosmetic purposes) | ![]() |
Swimming lessons (for treatment of a medical condition) | ![]() |
Teeth bleaching or whitening | |
Teeth grinding prevention devices | ![]() |
Therapy (for treatment of a medical condition) | ![]() |
Toothpaste, medicated (difference in cost only of medicated toothpaste over the standard toothpaste) | ![]() |
Toothpaste, toothbrush, floss, etc. | |
Transgender treatments/surgery | ![]() |
Transportation, parking and related travel expenses (essential to receive eligible care) | ![]() |
Transportation, parking and related travel expenses, for non-eligible expenses | |
Tubal ligation | ![]() |
Tuition or educational classes | |
Tuition or educational classes (for a specific medical condition) | ![]() |
Urological products | ![]() |
UV protection clothing | ![]() |
Vaccinations | ![]() |
Varicose vein removal surgery (for medical care) | ![]() |
Vasectomy | ![]() |
Vision insurance/plan premiums (paid with after-tax dollars only) | ![]() |
Vision products (over-the-counter) | ![]() |
Vitamins (prescription) | ![]() |
Vitamins for general health purposes (over-the-counter) | |
Walking aids (canes, walkers, crutches and related supplies) | ![]() |
Warranties or other charges for future anticipated services (with none actually received) | ![]() |
Wart removal treatments (over-the-counter) | ![]() |
Weight loss counseling | ![]() |
Weight loss drugs (for treatment of a medical condition) | ![]() |
Weight loss foods | |
Weight loss program (for treatment of a medical condition) | ![]() |
Weight loss program (to improve or maintain general health) | |
Wound care (over-the-counter) | ![]() |
X-ray fees (dental) | ![]() |
X-ray fees (medical) | ![]() |