Can I use my Health Savings Account for Botox?

It’s nearly December, the time of year when people find themselves looking for ways to use up the money in their Health Savings Account (HSA) before the year ends.  I am frequently asked if this money can be used for Botox, hair removal, or skin care products.  The short answer is: no, it can’t.  Money in an HSA does not cover cosmetic treatments.  But it can be used for things that regular insurance does not always cover.

Flu shots are covered by an HSA, as are blood pressure monitors, and blood sugar testing kits.  Your HSA may also cover hot or cold packs, bandages, and splints or ACE wraps.  So this is a great opportunity to set your household up with a first aid kit.

photo credit:

photo credit:

Condoms and pregnancy tests are usually covered as well, so you can always stock up if this is something you might need in the next year.

One slightly hazy area is prescription medication.  HSAs can be used to pay for pretty much any prescription medication.  And this is great for medications that are often not covered by insurance, such as EpiDuo, which is used to treat acne.  But there are some medications that are provided by prescription for cosmetic use, e.g. tretinoin.  Tretinoin does have some medical uses, but is most commonly used to treat wrinkles and fine lines.  It’s a prescription medication, but may be considered cosmetic, so I would check with your HSA first to see if it’s covered.

What’s the most interesting or creative thing you’ve used your Health Savings Account to pay for?

Related Articles:

Disclaimer: This webpage is for general information only. It is not intended to diagnose or treat any medical illness, or give any specific medical advice. Because medical knowlege is constantly evolving, I cannot guarantee the accuracy or timeliness of any information in this blog.

2 thoughts on “Can I use my Health Savings Account for Botox?

  1. John Owens

    H.S.A accounts do not expire at year end. They are not use it or lose it. Why would someone need to use it in December?


Questions? I'll do my best to answer any questions left in the comments!