Eligible vs. Ineligible HSA Expenses: A Quick Reference Guide

✅ What Can Be Claimed

Eligible expenses under a Health Spending Account (HSA) must meet CRA guidelines for medical necessity. Common examples include dental treatments, prescription medications, vision care, physiotherapy, and paramedical services. If the expense is typically deductible under the Income Tax Act as a medical expense, it is usually eligible under an HSA.

🚫 What Cannot Be Claimed

Ineligible expenses generally fall into the category of non-medical or lifestyle-related. These include cosmetic procedures, gym memberships, non-prescription supplements, and personal care items. Submitting ineligible expenses can result in disqualification of the HSA’s tax-free status.

📝 Documentation Required

Receipts must clearly show the provider name, service date, and nature of the service. Claimants should ensure they submit detailed receipts to support each reimbursement request.

💡 Tip for Employers

Provide employees with a summary of eligible expenses to reduce the risk of ineligible claims and to streamline the reimbursement process.

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