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What Expenses are Eligible For Reimbursement from an HSA?

An HSA may reimburse IRS qualiied medical expenses incurred by you Where Can I Find
(the account holder), your spouse, and your dependents (even if the spouse More Information
and dependent children are not enrolled in the CDHP). Qualiied medical on HSAs?
expenses are deined by the IRS in IRC Sec. 213(d). This document is meant to
serve as a high level summary
In addition to qualiied medical expenses, the following insurance premiums of HSAs. We encourage you
may be reimbursed from an HSA. to familiarize yourself with all
of the rules and regulations

“ COBRA premiums pertaining to HSAs. To view
statute, technical guidance
“ Health insurance premiums while receiving unemployment beneits and other consumer friendly

“ Qualiied long term care premiums (the reimbursable amount depends information released by
the U.S. Department
on one’s age) of Treasury, please

“ Any health insurance premiums paid, other than for an insurance carrier visit: www.treas.gov/
supplemental “Medigap” policy, by individuals age 65 and over ofices/public-affairs/hsa

Distributions made from an HSA to reimburse the account beneiciary for
qualiied medical expenses are excluded from gross income. Use Your HSA to
Pay for Your
What Expenses Are Not Eligible for Reimbursement from an “ Deductible
HSA?
The following expenses may not be reimbursed from an HSA. “ Out-of-pocket maximum

“ Dental expenses
“ Premiums for an insurance carrier supplemental policies
“ Vision care
“ Expenses covered by another health plan
“ Expenses incurred prior to the date the HSA was established “ Prescription drugs
“ Over the counter
HSA eligible medical expenses are deined by the IRS. IRS Publication drugs with a written
502 provides a complete list of eligible expenses. The list can be found at prescription

www. irs.gov. “ Hearing aids

Can Ineligible Expenses be Reimbursed from the HSA Silver Find more examples at
Account? www.irs.gov in IRC Sec.
213(d).
Yes. Neither the trustee, bank, insurance company, nor the employer are
required to determine if a claim submitted for reimbursement is a qualifying
medical expense.


Any amount withdrawn from an HSA for a non-qualifying medical expense is
added to the account beneiciary’s income and subject to ordinary income tax
and 20% excise tax.
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