insurance

HSA-Eligible Expense

HSA対象経費 (HSA taishō keihi)

An HSA-eligible expense is a medical cost that qualifies for tax-free payment or reimbursement from a Health Savings Account. The list mirrors FSA-eligible expenses but includes some additional items. After age 65, HSA funds can be used for Medicare premiums (Part B, Part D, Medicare Advantage). HSA funds cannot be used for most health insurance premiums (with exceptions for COBRA, long-term care insurance, and certain continuation coverage). IRS Publication 502 provides the authoritative list. Using HSA funds for non-qualified expenses results in income taxes plus a 20% penalty if under age 65.

Unlike FSAs, HSA funds never expire and can be invested — using them only for current expenses rather than saving them for retirement is generally a suboptimal strategy for those who can pay out of pocket.

In 9 languages

Language	Term
English	HSA-Eligible Expense
Japanese (日本語)	HSA対象経費
Chinese (中文)	HSA合格费用
Korean (한국어)	HSA 적격 비용
Portuguese	Despesa Elegível para HSA
Spanish	Gasto Elegible para HSA
Filipino	HSA-Eligible na Gastos
Thai	ค่าใช้จ่ายที่มีสิทธิ์ใช้ HSA
Vietnamese	Chi phí đủ điều kiện HSA
Romanization	HSA taishō keihi

Related terms

• HDHP (High-Deductible Health Plan) 高額免責プラン
• HSA (Health Savings Account) HSA（医療貯蓄口座）
• FSA (Flexible Spending Account) FSA（フレキシブル支出口座）
• FSA-Eligible Expense FSA対象経費

Learn more in the guide:

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