Below is the list of items typically covered by a standard HSA.
Prescription Requirement for OTC Drug PurchasesA doctor’s prescription is required in order to be reimbursed for over-the-counter (OTC) drugs. OTC drugs requiring a prescription are indicated
in the following list with the abbreviation “(Rx).”
Acne treatments (over-the-counter) (Rx)
Deductible for dental, medical, prescription and
(for non-cosmetic purposes, including sealants)
Lice treatment (over-the-counter) (Rx)
Allergy & sinus medicine and products
(up to IRS tax-free limit, see IRS Publication 502)
Dental reconstruction (including implants)
Diabetic monitor, test kits, strips and supplies
Antibiotic ointment (over-the-counter) (Rx)
Aspirin or other pain reliever (over-the-counter) (Rx)
Diaper rash ointments and creams (Rx)
Medical equipment (for treatment of medical
Bandages and related items (over-the-counter)
Ear drops and wax removal (over-the-counter) (Rx)
Birth control (over-the-counter) (Rx)
Eye drops and treatments (over-the-counter) (Rx)
Eye surgery or treatment to correct vision
Braille books & magazines (difference in cost only)
Medicare alternative insurance / plan premiums (paid with after-tax dollars only)
Medicare Part B insurance / plan premiums
Medicare alternative insurance / plan premiums
Canker & cold sore treatments (over-the-counter) (Rx)
Fertility treatment (for employee, spouse or dependent)
(vs. Part A & Part B; paid with after-tax dollars only)
Chest rubs (over-the-counter) (Rx)
Childbirth classes (charges for mother only)
Gastrointestinal medication (over-the-counter) (Rx)
Mileage (for travel to/from eligible health care)
Co-insurance (dental, medical, prescription, vision)
Health insurance / plan premiums (paid with after-tax dollars only)
Monitors & test kits (over-the-counter)
Motion & nausea (over-the-counter) (Rx)
Cold & flu medicine (over-the-counter) (Rx)
Nasal sprays & strips (over-the-counter) (Rx)
(dental, medical, prescription, vision; paid with after-tax dollars only)
Contraceptives (over-the-counter) (Rx)
Occlusal guards to prevent teeth grinding
Corn and callus remover (over-the-counter) (Rx)
(related to a medical condition or disability)
Insurance or health insurance / plan premiums
(chiro, dental, medical, psych/therapy, vision)
Cough syrup (over-the-counter) (Rx)
Counseling (for treatment of a medical condition)
Lactose intolerance (over-the-counter) (Rx)Turn over for more E
HSA Eligible Health Care Expenses (Cont.)
Toothpaste, medicated (difference in cost only of medicated toothpaste
over the standard toothpaste) (Rx)
Over-the-counter bandages and related items
Transportation, parking and related travel
Over-the-counter health care products (Rx)
expenses (essential to receive eligible care)
Over-the-counter drugs and medicines (including for Retin-A (for non-cosmetic purposes) (Rx)
motion sickness, sleep aids and sedatives) (Rx)
Over-the-counter products for dental, oral and
Smoking cessation (programs / counseling)
Varicose vein removal surgery (for medical care)
Viagra and similar prescription medications
Pain reliever (over-the-counter) (Rx)
Parental fees (billed for actual services received for
Student health fees billed for services actually
received (dental / medical / vision / prescription)
(canes, walkers, crutches and related supplies)
Sunscreen with SPF 15+ and “broad spectrum”,
Wart removal treatments (over-the-counter) (Rx)
sunburn creams & ointments (over-the-counter)
Prescription drugs (for non-cosmetic purposes)
(for treatment of a medical condition) (Rx)
Prescription insurance / plan premiums (paid with after-tax dollars only)
Propecia (for treatment of a medical condition) (Rx)
Therapy (for treatment of a medical condition)
HSA “Maybe” Eligible Health Care Expenses
Certain expenses require additional information in order to determine if they qualify. Products and services classified as “Maybe” require a written
statement from your health care provider indicating (1) the diagnosis and (2) the medical necessity of the expense. Specialized items also require proof of
the difference in cost: (1) the cost of standard, unmodified item, and (2) the cost of special or modified item. If you incur an expense that is classified as
“Maybe,” you will need to submit the above documentation with your claim.
Alternative drugs, medicines and treatment
(difference in cost only of specialized orthopedic
Reconstructive surgery (following accident or
Compression or anti-embolism socks, stockings
Special foods (gluten-free, salt-free or other for
Cord blood storage (for future treatment of a birth defect or known medical condition)
Special school (for mental and physical disabilities)
(limited to $50 per night for patient to receive
Cosmetic procedures or surgery for birth defects,
medical care and $50 per night for one caregiver)
Modified equipment (difference in cost only)
* As required or treatment for a medical condition diagnosed by a licensed health care professional.
Emergency Medicine Oversight Commission San Diego County Medical Society Narcotic Prescription Guidelines The Emergency Medicine Oversight Commission of the San Diego County Medical Society Narcotic Prescription Guideline is written with cooperation of the San Diego Field Office of the Drug Enforcement Administration with the purpose of reducing pharmaceutical drug diversion withou
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