How To Determine If Your Medical Expenses Qualify For An HSA

An HSA is an amazing tool, but it isn’t a catch-all for any medical expense which goes toward your deductible. So how do you know if you can use your HSA debit card or check to pay for your insulin, dentist appointment copay or something else?

Let’s take a look at how to figure it out, and when you’re ready to set up your Health Savings Account or move it, Sentry Bank is here to help!


The below possible qualifying medical expenses aren’t all-inclusive. HSAs were created through the tax code, so the IRS is able to change the list of eligible medical expenses at any time. Always consult a tax advisor for specific advice.

Also, any qualifying medical expenses can only be incurred by you, your spouse, any dependents you claim on your tax return or someone you could claim on your tax return except they:

  • filed a joint return; or,
  • had a gross income of $4,050 or more.

Possible HSA-eligible Drugs & Devices

For medicine, most over-the-counter medication isn’t able to be paid for by an HSA unless you get a prescription for it.

On the other hand, basically any medicine will qualify if you have a prescription, or if it’s insulin.

Some examples of qualifying drugs and devices would be:

  • eyeglasses & contact lenses;
  • hearing aids & batteries;
  • birth control pills;
  • breast pumps & supplies; etc.

Possible HSA-eligible Procedures, Therapies Or Treatments

For the most part, procedures, therapies or treatments which will help prevent or alleviate a physical or mental defect or illness are HSA-eligible. This includes dental and vision issues. Most likely, an elective procedure wouldn’t be covered.

Some examples might be:

  • acupuncture;
  • alcohol and drug addiction treatment;
  • ambulance transport;
  • artificial limb;
  • artificial teeth;
  • breast reconstruction surgery;
  • diagnostic tests and devices;
  • fertility enhancements;
  • operations/surgery (non-cosmetic);
  • nursing services;
  • physical therapy;
  • psychiatric care;
  • smoking cessation;
  • vasectomy;
  • vision correction surgery;
  • weight-loss programs; etc.

Possible HSA-eligible Appointments

Again, elective appointments likely won’t be eligible, but those which are your primary care appointments, as well as those your primary care team refers you too may be covered.

Some appointment examples might be:

  • primary physician;
  • dentist;
  • optometrist/eye doctor;
  • annual physical;
  • chiropractor;
  • surgery; etc.

When you’re ready to get setup or transfer your HSA to Sentry Bank, drop in at one of our convenient locations or contact us online!