Page 99 - 2021-2022 New Hire Benefits

Health Savings Accounts (HSAs) p.2 of 2

Examples of expenses that DO NOT Qualify for reimbursement through an HSA:
Baby Sitting, Childcare, and Nursing Hair transplant Nutritional supplements
Services for a Normal, Healthy Baby Health club dues Personal use items
Controlled substances Household help Swimming lessons
Cosmetic surgery Illegal surgeries and treatments Teeth whitening
Dancing lessons Maternity clothes Veterinary fees

Diaper service Medicines and drugs from other Weight-Loss Programs for
Electrolysis or hair removal countries improvement of appearance,
Flexible spending account Over the counter Drugs and Medicines general health, or sense
Funeral expenses (without a doctor’s prescription) of well-being.

Important reminders about qualified medical expenses:
• As the HSA owner, you are ultimately responsible for determining whether a healthcare expense is
eligible for reimbursement from your HSA.
• Salisbury Bank has provided these lists to serve as a quick reference, however it is not intended to be
comprehensive and they are offered with the understanding that Salisbury Bank and Trust Company is not
offering tax advice. For more detailed information, please refer to IRS Publication 502, titled: “Medical and
Dental Expenses (Including the Health Coverage Tax Credit)” Catalog Number 15002Q. Publications can
be ordered directly from the IRS by calling 800.TAX.FORM.
• If an HSA expenditure is not used for a qualified medical expense, you will be required to pay
income tax and a 20 percent penalty on the amount used. (The 20 percent penalty tax does not apply
to payments made after the date you are disabled, reach age 65 or die.)

This information is provided for informational purposes only and does not constitute tax, insurance or legal advice. Always refer to your tax,
insurance or financial advisor for guidance for your particular situation. Opinions expressed herein are subject to change without notice.
Information has been obtained from sources believed to be reliable, but its accuracy and interpretation are not guaranteed.

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