Health Savings Accounts with Fexingo: HSAs, Medical Expenses, and Triple Tax Advantage

In episode 82 of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used to cover fertility treatments like in-vitro fertilization (IVF), intrauterine insemination (IUI), and related medications. They break down IRS eligibility rules, the triple tax advantage applied to fertility expenses, and practical tips for maximizing HSA funds for family-building costs. With fertili...

In episode 81 of Health Savings Accounts with Fexingo, hosts Lucas and Luna explore an often-overlooked use of HSAs: covering genetic testing and preventive health screenings. Many high-deductible plan holders don't realize they can use pre-tax HSA dollars for DNA tests like 23andMe's FDA-approved health reports, or for clinical screenings such as colonoscopies and mammograms when used for medical...

Episode 80 of Health Savings Accounts with Fexingo explores how HSAs can cover mental health therapy, counseling, and psychiatric care. Lucas and Luna unpack the IRS guidelines on eligible expenses, including copays for therapists, psychologist visits, and prescribed treatments like cognitive behavioral therapy. They discuss the growing acceptance of teletherapy and how the pandemic-era expansion...

Episode 79 of Health Savings Accounts with Fexingo dives into the HSA-eligibility of weight loss programs, nutrition counseling, and related medical expenses. Lucas and Luna break down the specific IRS criteria: when a weight loss program qualifies as medical care (diagnosed obesity or a specific disease), and when it doesn't (general wellness). They discuss real examples like Weight Watchers for...

In episode 78 of Health Savings Accounts with Fexingo, Lucas and Luna explain why treating your HSA as a long-term investment vehicle—not just a spending account—can supercharge your retirement savings. They dive into the mechanics of investing HSA funds in low-cost index funds, the power of tax-free growth, and how to avoid common mistakes like leaving cash idle. With over a million HSAs holding...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how to strategically use your HSA to cover healthcare costs in retirement. They discuss the triple tax advantage, the power of investing HSA funds, and how to plan for Medicare premiums, out-of-pocket expenses, and long-term care. Using a concrete example of a 45-year-old who maximizes contributions for 20 years, they...

Episode 76 of Health Savings Accounts with Fexingo explores the intersection of HSAs and telehealth. Lucas and Luna discuss IRS Notice 2020-15, which expanded HSA-eligible expenses to include virtual visits even before meeting the deductible. They break down how the CARES Act made permanent the ability to use HSA funds for telehealth without a prescription, and highlight the rise of platforms like...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore the often-overlooked flexibility of HSAs for over-the-counter medications. Since the CARES Act permanently allowed OTC purchases without a prescription in 2020, many account holders still leave money on the table. Lucas breaks down the IRS rules, common eligible items like allergy meds and pain relievers, and how to sa...

Episode 74 of Health Savings Accounts with Fexingo dives into a frequently overlooked but hugely valuable use of your HSA: covering dental implants, bridges, crowns, and other major dental procedures. Lucas and Luna break down the IRS rules, the specific expenses that qualify (including bone grafts and sedation), and the strategy of using your HSA to pay for a $3,000 implant with pre-tax dollars....

Episode 73 of Health Savings Accounts with Fexingo explores whether LASIK and other elective vision surgeries qualify as HSA-eligible expenses. Lucas and Luna break down the IRS rules, out-of-pocket savings strategies, and how a $4,000 LASIK procedure can be paid for with pre-tax dollars. They cover realistic timelines for accumulating funds, high-deductible health plan compatibility, and the doub...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dive into the specifics of using your HSA for prescription sunglasses and eyewear. They break down the IRS rules that allow HSA funds to cover prescription glasses, including sunglasses, but not non-prescription shades. Lucas explains the key distinction between vision correction and general eye protection, citing IRS Publicat...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dive into a surprisingly generous HSA-eligible expense: breastfeeding supplies and lactation services. With nearly 85% of new parents in the U.S. initiating breastfeeding, the cost of pumps, storage bags, nipple creams, and lactation consultant visits can add up quickly. The hosts break down which specific items qualify under...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used for acupuncture and chiropractic care—two popular alternative treatments often overlooked by account holders. Lucas explains the IRS rules that allow these expenses when prescribed for a specific medical condition, not just general wellness. He cites a 2024 Fidelity study showing that less than 15%...

Lucas and Luna explore a little-known HSA rule: you can use pre-tax HSA dollars to pay for the care of a qualified service animal, even if that animal is a dog, cat, or other species. They break down IRS guidance on what counts as a medical expense for a service animal—covering veterinary bills, food, grooming, and even training costs for the animal's medical assistance tasks. They also explain th...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used to pay for medical expenses while traveling internationally. They dive into IRS guidelines, real-world examples like emergency dental care in Mexico and prescription refills in Europe, and the importance of keeping receipts and documentation. The hosts discuss how to avoid common pitfalls, such as...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a lesser-known benefit of HSAs: coverage for orthotics and prosthetics. They break down IRS Publication 502 rules, using real examples like custom orthotic inserts for plantar fasciitis and prosthetic limbs after an accident. The hosts explain what qualifies, what documentation you need, and how to avoid common reimbur...

Lucas and Luna explore how Health Savings Accounts can cover home modifications for medical needs, from wheelchair ramps and grab bars to stairlifts and smart home devices. They discuss the IRS rules on 'medically necessary' home improvements and the key distinction between capital improvements that increase home value and those that don't. The episode features a specific case study: a listener wi...

Episode 65 digs into a frequently overlooked HSA superpower: coverage for medical expenses when you travel internationally. Hosts Lucas and Luna walk through specific IRS-qualified expenses abroad—emergency room visits abroad, prescription drugs purchased overseas, even medical evacuation insurance premiums—and explain the documentation you'll need to keep the tax advantage intact. They break down...

Lucas and Luna explore a little-known but powerful HSA-eligible expense: hearing aids and audiology services. With hearing loss affecting 1 in 8 Americans over 12 and the average cost of a pair of prescription hearing aids exceeding $5,000, this episode breaks down exactly what qualifies: hearing exams, hearing aids themselves, repairs, batteries, and even custom earplugs. Lucas cites data from th...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can cover pediatric care and child health expenses. They break down IRS rules for qualified medical expenses for dependents under 19, including well-child visits, vaccinations, dental sealants, orthodontia, vision exams, and mental health counseling for kids. They discuss the importance of retaining receipts f...

Episode 62 of Health Savings Accounts with Fexingo explores a little-known IRS rule: high-deductible health plan holders with an HSA can use tax-free dollars for gym memberships, fitness classes, and even home gym equipment—if a doctor prescribes exercise to treat a specific medical condition. Lucas and Luna break down the 2024 IRS guidance that clarified this, the difference between general welln...

Did you know your HSA can pay for summer camp medical expenses? In this episode, Lucas and Luna break down the IRS rules that let you use pre-tax HSA dollars for camp-related first aid kits, prescription medications, epinephrine injectors, and even a portion of camp fees if you choose a camp specifically for children with medical needs. They walk through the key distinction between 'medical care'...

Episode 60 of Health Savings Accounts with Fexingo dives into a surprising HSA-qualified expense: long-term care insurance premiums. Lucas and Luna break down the IRS limits for 2026, how the deduction scales with age, and why this strategy could be a powerful retirement planning move. They also explore how HSAs can complement long-term care coverage, particularly for those in their 50s and 60s wh...

In this episode, Lucas and Luna dive into a common but confusing HSA question: what happens to your health savings account when you get married or add a dependent? They break down the rules around qualifying newly added family members for HSA-eligible expenses, including the tricky timing of mid-year HDHP enrollment and the new $8,300 family contribution limit for 2026. Using a real case study of...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dive into one of the most expensive yet commonly overlooked HSA-eligible expenses: fertility treatments. With the average IVF cycle costing over $20,000, knowing how to use your HSA to cover these costs can save thousands. We break down what the IRS considers eligible—from diagnostic testing and medications to egg freezing and...