Can i pay dental insurance premiums with my hsa

Because health accounts were created by the tax code, it's the Internal Revenue Service that determines what expenses can be reimbursed and what cannot. Here are some examples of qualified and nonqualified medical expenses.

  • Acupuncture
  • Alcohol and drug addiction treatment
  • Breast reconstruction surgery
  • Dental treatment
  • Diagnostic tests and devices
  • Doctor's visits
  • Prescriptions
  • Eyeglasses, contact lenses and exams
  • Fertility enhancements
  • Hearing aids and batteries
  • Operations/surgery (non-cosmetic)
  • Nursing services
  • Physical therapy
  • Psychiatric care
  • Smoking cessation

If you use your HSA to pay for nonqualified expenses, you'll have to pay income taxes on those funds. You will also be assessed a 20% penalty. The following are examples of nonqualified expenses:

  • Cosmetic surgery
  • Diaper service
  • Electrolysis or hair removal
  • Funeral expenses
  • Health club dues
  • Illegal operations and treatments
  • Maternity clothes
  • Nutritional supplements
  • Over-the-counter medicines for which you do not have a doctor's prescription
  • Toiletries (e.g. toothbrush, toothpaste)
  • Teeth whitening
  • Weight loss programs (unless prescribed to treat a specific disease)

Qualified medical expenses are similar for all health accounts, but there are some differences:

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