Household products/improvements to treat allergiesĬounseling must be performed to alleviate or prevent a physical or mental defect or illnessĬertain health insurance premiums are eligible to be paid out of an HSA. Home improvements (e.g., exit ramps, widening doorways) Filing Form 8889 Employer Participation Health plan. For employees enrolled in Health Reimbursement Arrangement (HRA) ONLY.
#Hsa eligible expenses 2021 pdf how to
Balance in an HSA Death of HSA Holder Spouse is the designated beneficiary. How to Pay for Prescriptions, Medical Expenses & Other FSA/HSA-eligible Expenses. Guide dog/service animal (purchase, care for, training) Reporting Distributions on Your Return Additional tax. The amount you spend will be federal income tax-free. is eligible for reimbursement.īreast reduction surgery that is medically necessaryĬhildbirth/lamaze classes (related to birth)Ĭhiropractic treatments (e.g., adjustments)Ĭoinsurance amounts (health, dental or vision)Ĭomtrex, DayQuil, NyQuil, Motrin, Theraflu, Vicks, SudafedĬonvalescent home (for medical treatment only)įor repair or reconstruction after accident or surgery or for correction of birth defectĬosmetics, hygiene products and similar itemsĭental procedures, non-cosmetic (e.g., X-rays, fillings, extractions, crowns, implants)ĭiabetic supplies (e.g., insulin, syringe, monitor, insulin pump)ĭigestive relief (e.g.Tums, Pepto-Bismol)Įyeglasses – prescription sunglasses/safety glassesįeminine hygiene products (e.g., tampons)įertility treatments (e.g., artificial insemination, egg donor fees, in vitro)įluoridation treatment at a dental office HSA qualified medical expenses Once you’ve contributed money to your health savings account (HSA), you can use it to pay for qualified medical expenses for yourself, your spouse and your eligible dependents. The difference between the cost of a regular book, audio, etc.
Ibuprofen, Advil, Motrin, Midol, Naproxen, Aleve, NaprosynĪsthma treatments (e.g., inhaler, nebulizer) Maalox, Tums, Pepto-Bismol, Pepto Bismol, Alka-seltzer, Prilosec, Pepcid, Omeprazole, Zantac, NexiumĪllegra, Benadryl, NSAIDs, Claritin, Zyrtec, Xyzal, Antihistamines, Alavert, Brompheniramine, Clarinex, Astelin, Optivar, Elestat, Patanol, Flonaseīiofreeze, Vicks vaporub, Bengay, Capzasin, Icyhot, Solarcaine, chest rub Itemized statement from 23andMe must be provided or you can access the FSA calculator to determine the eligible portion of the test: Calculatorīinder, girdle, posture, lumbo-sacral, lumbar
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