Health Savings Account Eligible Expenses

Common HSA, HRA & FSA Eligible Expenses

The following is a summary of common expenses claimed against Health Savings Accounts (HSAs), Health Reimbursement Arrangements (HRAs), and Healthcare Flexible Spending Accounts (HC-FSAs). Due to frequent updates to the regulations governing these accounts and arrangements, this list does not guarantee reimbursement and is to be utilized as a guide for the submission of claims. For more information on IRS-qualified medical expenses, click here.

 

Common IRS-Qualified Medical Expenses

  • Acupuncture
  • Ambulance
  • Artificial limbs
  • Artificial teeth*
  • Birth control treatment
  • Blood sugar test kits for diabetics
  • Breast pumps and lactation supplies
  • Chiropractor
  • Contact lenses and solutions*
  • Crutches
  • Dental treatments (including X-rays, cleanings, fillings, sealants, braces and tooth removals*)
  • Doctor’s office visits and co-pays
  • Drug addiction treatment
  • Drug prescriptions
  • Eyeglasses (Rx and reading)*
  • Fluoride treatments*
  • Feminine hygiene products
  • Fertility enhancement (including in-vitro fertilization)
  • Flu shots
  • Guide dogs
  • Hearing aids and batteries
  • Infertility treatment
  • Inpatient alcoholism treatment
  • Insulin
  • Laboratory fees
  • Laser eye surgery*
  • Medical alert bracelet
  • Medical records charges
  • Midwife
  • Occlusal guards to prevent teeth grinding
  • Orthodontics*
  • Orthotic Inserts (custom or off the shelf)
  • Over-the-counter medicines and drugs (see more information below)
  • Physical therapy
  • Special education services for learning disabilities (recommended by a doctor)
  • Speech therapy
  • Stop-smoking programs (including nicotine gum or patches, if prescribed)
  • Surgery, excluding cosmetic surgery
  • Vaccines
  • Vasectomy
  • Vision exam*
  • Walker, cane
  • Wheelchair

 

Common Over-the-Counter (OTC) Medicines

  • Allergy medicine
  • Analgesics (e.g., vaporizing rub)
  • Anti-diarrhea medicine
  • Anti-gas, Antacid
  • Antihistimines
  • Anti-inflammatory medication
  • Aspirin
  • Bandages
  • Burn treatments, OTC
  • Calamine lotion
  • Cold and flu medicine
  • Cold sore remedies
  • Cold/hot packs
  • Condoms
  • Contact lens solutions/cleaners
  • Cotton balls (sterile)
  • Cough drops, cough suppressants
  • Decongestants 
  • Diaper rash treatments
  • Elastic wraps
  • Expectorants
  • Eye drops (nonmedicated)
  • Feminine hygiene products
  • Fiber laxatives
  • First-aid kits
  • Heating pads
  • Hemorrhoid treatments
  • Insect bite/sting medicine
  • Medicated lip balm/cream
  • Menstrual pain relievers
  • Nicotine patches, gum and lozenges
  • OTC pain relievers
  • Pregnancy test kits
  • Prenatal vitamins
  • Reading glasses
  • Stomach remedies
  • Sunburn treatments
  • Sunscreen
  • Thermometers
  • Throat lozenges/cough drops

 

Please note, this list is not allencompassing. For more information on your medical spending account, please contact your plan administrator. For full list and publication please visit IRS.gov