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Eligible Expenses

The IRS has ruled that it is the owner of the HSA who must keep track of their expenses.  In case of audit the records must show that withdrawals from the HSA are qualified expenses. 

Qualified expenses are determined from IRS publication 502. These are the same expenses that taxpayers can use to deduct medical expenses on the 1040 form.  To be eligible to deduct medical expenses directly on the 1040 form, the expenses must reach 7.5% of gross income.  It's much easier to use a HSA account.  

There are some additional expenses you can use for the HSA account as well, like over the counter medicines.  If you have a special circumstance that you think should be entitled for a qualified expense make sure your get a letter of necessity from your healthcare provider.   If your still unsure, I suggest contacting a tax accountant for their advice.

Following is a list of some eligible expenses.

Eligible Medical Expenses

• Acupuncture
• Alcoholism treatment
• Ambulance
• Anesthetist
• Arch supports
• Artificial limbs
• Birth Control Pills
• Blood tests
• Blood Pressure          monitor
• Braces(orthodontics)
• Braces(orthopedic)
• Chiropractor
• Cost of some expenses for conferences on medical conditions

• Contacts
• Contraceptive devices-RX
• Nursing home
(for medical treatment only)
• Crutches
• Dental Expenses
• Dentures
• Diagnostic fees
• Drug addiction therapy
• Drugs (prescription and some OTC)
• Elastic hosiery (prescription)
• Eyeglasses


• Guide dog
• Gum treatment
• Hearing aids and batteries
• Hospital bills
• Hydrotherapy
• Insulin treatment
• Lab tests

• Lodging (away from home for
outpatient care)

• Long term care premiums

• Nursing
• Operating room costs
• Optician
• Optometrist
• Oral surgery
• Organ transplant
• Orthopedic softgoods and shoes
• Oxygen equipment

Obesity treatment

Osteopath

Prosthesis

Nursing Home

Costs to modify a car or home for a disability

• Physicians
• Podiatrists
• Postnatal treatments
• Practical nurse for medical service
• Prenatal care
• Prescriptions
• Psychiatrist
• Psychoanalyst
• Psychologist
• Radium Therapy
• RN
• Special school costs for the handicapped
• Splints
• Sterilization
• Surgeon
• Telephone or TV equipment to assist the hard-of-hearing
• Therapy equipment
• Transportation expenses
(related to health care)
• Vaccines
• Vasectomy
• Wheelchair
• X-rays

Eligible Over-the-Counter Drugs

• Antacids
• Allergy \Sinus medications
• Pain relievers
• Cold medicine
• Anti-diarrhea medicine
• Cough drops and throat lozenges

• Nicotine medications
• Rehydration drinks(Pedialyte)
• First aid creams
• Calamine lotion

Wart removal

•Bandages

• Wart removal medication
• Antibiotic ointments
• Suppositories and creams for hemorrhoids
• Sleep aids
• Motion sickness pills

http://www.irs.gov/publications/p502/ar01.html

ar01

 
 
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