Eligible Expenses

The following list is a sample of the qualified eligible medical expenses for reimbursement. For more information, refer to Publication 502 on the IRS website. 

  • Acupuncture 
  • Ambulance
  • Annual Physical Exam       
  • Bandages
  • Chiropractor
  • Contact Lenses
  • Dental treatment
  • Diagnostic Services
  • Eyeglasses
  • Gynecologist
  • Hospital Services
  • Laboratory Fees
  • Nursing Services
  • Obstetrician
  • Optometrist
  • Orthodontist
  • Pediatrician 
              
  • Podiatrist
  • Prenatal Care
  • Prescription Medication
  • Psychiatrist
  • Psychoanalyst
  • Psychologist
  • Specialists
  • Surgery
  • Therapy
  • Vaccines
  • Vision Correction Surgery
  • Weight Loss Programs
  • Wheelchair
  • X-Rays

 

 

Contribution Limits

Limits
Single
Family

Minimum Deductible

2014: $1,250
2015: $1,300

2014: $2,500
2015: $2,600

Maximum  Out-of-Pocket

2014: $6,350
2015: $6,450

2014: $12,700
2015: $12,900

Contribution Limit

2014: $3,300
2015: $3,350

2014: $6,550
2015: $6,650

Catch-up Contribution (55 or older)

2014/15:
$1,000

2014/15:
$1,000

Apply for HSA

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