SEARCH
HSA Insights
HSAs for Families
HSAs for Individuals
HSAs & Employers
HSAs for Retirees

WHO CAN GET AN HSA AND WHAT IS COVERED?

You must be covered by a High Deductible Health Plan (HDHP) to take advantage of HSAs. You also must: not receive coverage under another health insurance plan, not be enrolled in Medicare and not be someone else’s dependent.

An HSA works in conjunction with high deductible health insurance. These types of plans cost less than low deductible and copay plans. Typically, your HDHP premiums will be about 50% lower.

Your HSA money can be used to help pay the health insurance deductible and qualified medical expenses not covered by the health insurance, including dental and vision. Your HSA account earns tax-free interest and, in some plans, can be used for different types of investments such as mutual funds or money market accounts.

For 2010, the federal law limits tax deductible HSA annual contributions to $3,050 for singles and $6,150 for families.

The 2010 out-of-pocket expense liits for HDHP's will be $5,950 for singles and $11,900 for families. Deductible limits for 2009 will be $1,200 for singles and $2,400 for families.

Most expenses for medical, dental and vision care will be reimbursed under your HSA with some exceptions such as cosmetic surgery and health club dues. A list of reimbursable expenses is available on the IRS Web site, www.irs.gov

Examples of qualified medical expenses:

  • Alcoholism treatment
  • Ambulance
  • Artificial limbs or prostheses
  • Artificial teeth
  • Birth control pills (by prescription)
  • Braces
  • Breast reconstruction surgery
  • Car – special hand controls or equipment to accommodate a disabled person
  • Chiropractor
  • Christian Science practitioner
  • Contact lenses and cleaning solutions
  • Crutches
  • Dental treatment
  • Dentures
  • Dermatologist
  • Diagnostic devices (blood sugar test kit)
  • Drug addiction treatment
  • Eyeglasses
  • Fertility enhancement
  • Guide dog or assistance animal
  • Hearing aids and batteries
  • Home care
  • Home improvements to accommodate a disabled person
  • Hospital services
  • Lab fees
  • Laser eye surgery
  • Lead paint removal
  • Lodging (away from home for prescribed outpatient care)
  • Long-term care premiums (certain limits apply)
  • Long-term care services
  • Nonprescription medications
  • Nursing home
  • Nursing services (including board and meals)
  • Ophthalmologist
  • Optician
  • Optometrist
  • Organ transplant (including donor’s expenses)
  • Osteopath
  • Oxygen and oxygen equipment
  • Physician services
  • Podiatrist
  • Prescription medications
  • Psychiatric care
  • Psychiatrist
  • Psychologist
  • Special home for the mentally challenged
  • Special school costs for the handicapped
  • Sterilization
  • Surgery
  • Stop-smoking programs (physician prescribed)
  • Telephone or TV equipment to assist the hearing impaired
  • Therapy
  • Transportation (primarily for and essential to medical care)
  • Vasectomy
  • Weight loss programs to treat an existing disease
  • Wheelchair
  • X-rays

Internal Revenue Code section 213 allows a tax deduction for expenses paid by a taxpayer for medical care, including over the counter (OTC) items. Qualified OTC medical expenses may be paid for or reimbursed from a Flexible Spending Arrangement (FSA) or health reimbursement arrangement (HRA) such as an HSA. In July 2009 the IRS provided additional information on what qualifies as medical care to include: care for the prevention of disease “only if there is a present existence or an imminent probability of developing a disease, physical or mental defect, or illness.” To learn more about the deductibility of OTC items visit: http://www.irs.gov/publications/p969/ix01.html.


How HSAs Work VideoVIEW OUR HEALTH SAVINGS ACCOUNT VIDEO—HOW HSAs WORK


Helpful Links:


Learn More: Important details about health savings accounts

Or Compare: Calculate your savings by owning an HSA