Author Topic: HSA funds for Behavioral / Mental health expenses  (Read 2017 times)

FrugalFisherman10

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HSA funds for Behavioral / Mental health expenses
« on: November 09, 2021, 05:48:50 PM »
Hi all you HSA experts.
I am wondering if I can use my HSA funds to reimburse myself for mental health visits (psychotherapy).  It is being treated by a license psychologist, has a CPT code (OCD/anxiety), and all that. I am coming up somewhat short finding this answer on the internet, and oddly enough my HSA provider does not have a drop down option for anything like "Office Visit - Mental Health" or anything like that, which is confusing to me.

I'm pretty sure HSAs and FSAs can be used for office visits for therapy, but just want to make sure.

Can anyone shine some light on this?
thanks

secondcor521

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Re: HSA funds for Behavioral / Mental health expenses
« Reply #1 on: November 09, 2021, 06:37:24 PM »
Well, you can make the distribution from your HSA regardless.  But to avoid the penalties, it would have to be a qualified medical expense, which is probably what you meant.

The instructions for Form 8889 (the IRS form dealing with HSA distributions) says:  "Generally, “qualified medical expenses” for HSA purposes are unreimbursed medical expenses that could otherwise be deducted on Schedule A (Form 1040). See the Instructions for Schedule A and Pub. 502, Medical and Dental Expenses." (page 1 at https://www.irs.gov/pub/irs-pdf/i8889.pdf)

Pub 502 is here:  https://www.irs.gov/pub/irs-pdf/p502.pdf, and says in relevant part:  "Medical expenses are the costs of diagnosis, cure, mitigation, treatment, or prevention of disease, and for the purpose of affecting any part or function of the body. These expenses include payments for legal medical services rendered by physicians, surgeons, dentists, and other medical practitioners. They include the costs of equipment, supplies, and diagnostic devices needed for these purposes.  Medical care expenses must be primarily to alleviate or prevent a physical or mental disability or illness."

missundecided

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Re: HSA funds for Behavioral / Mental health expenses
« Reply #2 on: November 09, 2021, 07:55:07 PM »
A good rule of thumb I like to use is, is it covered by insurance (and/or is applied to your deductible)? Then it's covered by an HSA.

Just_Me

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Re: HSA funds for Behavioral / Mental health expenses
« Reply #3 on: November 10, 2021, 06:51:38 AM »
I see a mental health specialist, it is covered by insurance, and i keep receipts/EOBs for eventual HSA reimbursement.

I personally pay out of pocket for mental and other healthcare while waiting for HSA funds to grow. However mental healthcare can be reimbursed, per your question.

Thanks@secondcor521 for quoting IRS.  That slams the door shut in my opinion to a yes to OPs question.

 

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