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

Episode 32 of Health Savings Accounts with Fexingo dives into a high-cost, often-confusing area: major dental work like implants, bridges, crowns, and dentures. Lucas and Luna break down what the IRS considers a qualified medical expense, using the example of a single dental implant that can cost $3,000 to $6,000. They explain the triple tax advantage in action: contributing pre-tax dollars, growi...

Episode 31 of Health Savings Accounts with Fexingo digs into a gray area: can you use HSA funds for medical marijuana? Lucas and Luna break down the IRS stance, state-level legalization conflicts, and what counts as a qualified medical expense. They cover a real case from New York where a patient successfully used an HSA for cannabis after a cancer diagnosis — and the pitfalls that trip up most pe...

In this episode, Lucas and Luna explore how Health Savings Accounts can be used for weight loss programs and prescription drugs, including GLP-1 medications like semaglutide. They discuss the IRS rules, the distinction between medical treatment and general health, and what documentation you need to avoid tax penalties. Specific examples include the qualifications for obesity treatment and the rece...

Episode 29 of Health Savings Accounts with Fexingo tackles a frequently overlooked HSA strategy: paying long-term care insurance premiums with pre-tax dollars. Lucas explains the IRS age-based limits — rising from $1,760 a year for someone under 40 to around $4,700 for those 71 and older — and why even younger workers should consider buying a policy early to lock in lower rates. Luna challenges th...

Episode 28 of Health Savings Accounts with Fexingo explores a less-talked-about HSA eligible expense: home modifications that help you age in place. Lucas and Luna break down IRS rules on when ramps, grab bars, stairlifts, and bathroom renovations qualify as medical expenses versus general home improvements. They walk through real examples, including a $15,000 walk-in tub and a $5,000 wheelchair r...

Can you use your Health Savings Account to pay for medical marijuana or CBD products? Lucas and Luna dig into the IRS rules, the conflict between federal and state law, and the specific documentation you need to avoid an audit. They walk through a real example: a patient in New York with a state-issued medical cannabis card who tried to reimburse themselves from their HSA — and what happened. Plus...

Episode 26 of Health Savings Accounts with Fexingo explores how HSAs can be used for alternative medicine like acupuncture and chiropractic care. Lucas and Luna dive into IRS guidelines, common qualifying expenses, and practical tips for maximizing your HSA dollars. Learn what documentation you need, how to handle ambiguous expenses, and why these treatments are increasingly popular among HSA hold...

Episode 25 of Health Savings Accounts with Fexingo breaks down a little-known rule: you can use your HSA to pay for over-the-counter medications without a prescription. Lucas and Luna walk through the 2020 CARES Act change that made this possible, what counts as a qualified OTC expense (think pain relievers, allergy meds, cold medicine), and the record-keeping gotchas that trip people up. They sha...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a growing area of HSA-eligible spending: telehealth services and digital health subscriptions. As of 2026, the IRS has clarified that many virtual care platforms—like Teladoc, Amwell, and subscription-based services such as Ro or Hinge Health—qualify for HSA reimbursement when the underlying service is for medical care...

In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used for orthodontic expenses, including braces, retainers, and Invisalign. They break down the IRS rules on qualified medical expenses, the difference between cosmetic and medically necessary treatment, and how to maximize tax-free reimbursement for both children and adults. With a real-world example o...

In this episode, Lucas and Luna break down exactly how Health Savings Accounts cover hearing aids, cochlear implants, audiology exams, and related expenses. They walk through the IRS rules for hearing devices, what counts as a qualified medical expense versus cosmetic, and why many HSA holders miss out on reimbursing battery costs and fitting fees. They also share a specific case: how a listener u...

Lucas and Luna explore how Health Savings Accounts can pay for genetic testing, preventive DNA screenings, and advanced diagnostic panels in 2026. With the rise of direct-to-consumer genetic health tests and employer-sponsored wellness programs, many HSA holders don't realize these costs qualify as medical expenses. The hosts walk through specific examples—from BRCA gene screening to pharmacogenom...

In this episode, Lucas and Luna break down a commonly misunderstood HSA rule: can you use your Health Savings Account to pay for family health insurance premiums? The short answer is mostly no, but there are critical exceptions. They explore the difference between premiums paid while unemployed (via COBRA or state coverage) and premiums paid while working, plus the special case of Medicare premium...

Episode 19 of Health Savings Accounts with Fexingo explores how HSAs can be used to cover student health insurance premiums, campus health center fees, and other medical expenses for young adults enrolled in college or university. Lucas and Luna break down the IRS rules on using HSA funds for dependent children under 26, the interaction with ACA-compliant student plans, and the strategies families...

In this episode, Lucas and Luna explore the surprising ways Health Savings Accounts can be used for pet medical expenses. While HSAs are typically thought of for human healthcare, the rules allow HSA funds to cover service animals and certain veterinary expenses for qualified animals. The hosts break down the IRS guidelines, using the example of a guide dog for a visually impaired HSA holder, and...

Episode 17 of Health Savings Accounts with Fexingo dives into a lesser-known use case: covering travel medical expenses abroad. Lucas opens with a story of a listener who had an emergency appendectomy in Mexico and successfully used HSA funds for the hospital bill, flights home for medical reasons, and even lodging for a family member. The hosts break down the surprisingly broad IRS rules on what...

Episode 16 of Health Savings Accounts with Fexingo explores a little-known but increasingly relevant use for HSA funds: paying for home health aides, adult day care, and long-term nursing care. Lucas and Luna break down IRS rules on qualified long-term care services, what counts as a medical expense versus a personal care expense, and how to document services to avoid tax penalties. They walk thro...

Episode 15 of Health Savings Accounts with Fexingo tackles a high-cost, often-overlooked use of HSA funds: fertility treatments and family-building expenses. With the average IVF cycle in the U.S. costing around $15,000 to $25,000, knowing which expenses are HSA-eligible can save families thousands. Lucas and Luna break down the IRS guidelines for fertility medications, diagnostic tests, egg freez...

Episode 14 of Health Savings Accounts with Fexingo explores how HSAs can be used for alternative medicine expenses—acupuncture, chiropractic care, naturopathy, and more. Lucas and Luna break down IRS guidelines, the difference between treatment and wellness, and how a 2024 IRS ruling expanded coverage for certain holistic therapies. They discuss common pitfalls like gym memberships versus prescrib...

Can you pay for a gym membership with your HSA? In this episode, Lucas and Luna dig into the IRS rules on medical expenses versus general health, the 2026 guidance on fitness expenses tied to diagnosed conditions, and how listeners can structure a doctor's note to qualify. They walk through the specific requirements for a letter of medical necessity, why a simple 'I want to be healthy' won't cut i...

Episode 12 of Health Savings Accounts with Fexingo explores how HSAs can be used for mental health expenses in 2026. Lucas and Luna break down which services qualify—therapy sessions, psychiatry appointments, and even certain wellness apps—using the specific example of BetterHelp. They explain the IRS rules on telehealth vs. in-person care, the documentation you need to keep, and how the pandemic-...

Most people think of HSAs for doctor visits and prescriptions, but vision and dental expenses are some of the most overlooked qualified medical costs. In this episode, Lucas and Luna break down exactly which eye and dental services your HSA can cover — from LASIK and orthodontia to everyday items like contact lens solution and dental floss. They walk through real examples, including how one listen...

Lucas and Luna break down the little-known strategy for tapping your Health Savings Account in a true emergency without destroying its triple tax advantage. They walk through the 2026 rule changes around qualified medical expenses, the 20 percent penalty exception for non-medical withdrawals after age 65, and the crucial distinction between reimbursing yourself now versus saving receipts for decad...

Episode 9 of Health Savings Accounts with Fexingo tackles a question most people don't ask until it's too late: can you use your HSA to pay Medicare premiums? Lucas and Luna walk through the specific IRS rules — what's covered, what's not, and how the Medicare Part B premium penalty interacts with HSA eligibility. They break down the 2026 Part B standard premium of $185.80 per month and explain wh...

Episode 8 of Health Savings Accounts with Fexingo focuses on a critical but often overlooked strategy: using your HSA to cover healthcare expenses in retirement. Lucas and Luna break down how Medicare premiums, deductibles, and long-term care costs can be paid from an HSA, with tax-free withdrawals for qualified expenses. They discuss the 'saving receipts' strategy, where you pay out-of-pocket now...