Pennsylvania Health Savings Accounts

A health savings account (HSA), is a tax-advantaged medical savings account available to anyone who is enrolled in a high deductible health plan (HDHP). The funds contributed to the HAS account are not subject to federal income tax.

HSA's are owned by the individual, which differentiates them from the company-owned Health Reimbursement Arrangement (HRA) that is an alternate tax-deductible source of funds paired with HDHPs. Funds may be used to pay for qualified medical expenses at any time without federal tax liability. Withdrawals for non-medical expenses are treated similarly to those of an IRA in that they may provide tax benefits if taken after retirement age, and they incur penalties if taken earlier.

Many believe that HSA's are an important reform that will help reduce the growth of health care costs and increase the efficiency of the health care system. This is because, HSAs encourage saving for future health care expenses, and allow the patient to receive needed care without a gate keeper to determine what benefits are allowed. The accounts also make health insurance consumers more responsible for their own health care choices through the required High-Deductible Health Plan.

HSA Eligible Medical Expenses

  • Abdominal supports
  • Acupuncture
  • Air conditioner (when necessary for relief from difficulty in breathing)
  • Alcoholism treatment
  • Ambulance
  • Anesthetist
  • Arch supports
  • Artificial limbs
  • Autoette (when used for relief of sickness or disability)
  • Birth control pills (by prescription)
  • Blood tests
  • Blood transfusions
  • Braces
  • Cardiographs
  • Chiropractor
  • Christian Science practitioner
  • Contact lenses
  • Contraceptive devices (by prescription)
  • Convalescent home (for medical treatment only)
  • Crutches
  • Dental treatment
  • Dental X-rays
  • Dentures
  • Dermatologist
  • Diagnostic fees
  • Diathermy
  • Drug addiction therapy
  • Drugs (prescription)
  • Elastic hosiery (prescription)
  • Eyeglasses
  • Fees paid to health institute prescribed by a doctor
  • FICA and FUTA tax paid for medical care service
  • Fluoridation unit
  • Guide dog
  • Gum treatment
  • Psychoanalyst
  • Psychologist
  • Psychotherapy
  • Radium therapy
  • Registered nurse
  • Special school costs for the handicapped
  • Spinal fluid test
  • Splints
  • Sterilization
  • Surgeon
  • Telephone or TV equipment to assist the hard-of-hearing
  • Therapy equipment
  • Transportation expenses (relative to health care)
  • Ultraviolet ray treatment
  • Vaccines
  • Vasectomy
  • Vitamins (if prescribed)
  • Wheelchair
  • X-rays