Because contributions to your Health Spending Account (HSA) are tax-free, reimbursement of paid eligible medical and dental expenses are guided by Canada Revenue Agency's (CRA) Medical Expense Tax Credit.
Below is a list of typical eligible expenses. Note that this list is subject to change but you can search current eligibility via CRA's website.
Acoustic coupler |
Computer peripherals |
Hospital services |
Osteogenesis stimulator (inductive coupling) |
Teletypewriters |
Air conditioner |
Cosmetic surgery after 2010-03-04 |
Infusion pump |
Oxygen and oxygen tent |
Television closed caption decoders |
Air filter, cleaner, or purifier |
Crutches |
Injection pen (such as insulin pens) |
Oxygen concentrator |
Tests |
Altered auditory feedback devices |
Deaf-blind intervening services |
Insulin or substitutes |
Pacemakers |
Therapy |
Ambulance |
Dental services except cosmetic |
IVF program
|
Page-turner devices |
Training |
Assisted breathing devices |
Dentures and dental implants |
Iron lung |
Personalized therapy plan |
Travel expenses (at least 40kms) |
Artificial eye or limb |
Devices or software |
Kidney machine |
Phototherapy equipment |
Travel expenses (at least 80kms) |
Artificial or prosthetic limbs |
Diapers or disposable briefs |
Laboratory procedures or services |
Premiums paid to private health services plans |
Travel expenses (outside of Canada) |
Attendant care expenses
|
Doctor, including Naturopathic |
Large print-on-screen devices |
Pre-natal and post-natal treatments |
Treatment centre |
Audible signal devices
|
Driveway access |
Laryngeal speaking aids |
Prescription drugs and medications |
Truss for hernia |
Baby breathing monitor |
Drugs |
Laser eye surgery |
Pressure pulse therapy devices |
Tutoring services |
Bathroom aids |
Elastic support hose |
Lift or transportation equipment |
Reading services |
Vaccines |
Bliss symbol boards |
Electrolysis |
Liver extract injections (pernicious anaemia) |
Real-time captioning |
Van |
Blood coagulation monitors |
Electronic bone healing device |
Medical cannabis (marijuana) |
Rehabilitative therapy |
Vehicle device |
Bone conduction receiver |
Electronic speech synthesizers |
Medical practitioner services |
Renovation or construction expenses |
Vision devices |
Bone marrow transplant |
Electrotherapy devices |
Medical services provided outside of Canada |
Respite care expenses |
Visual or vibratory signalling device |
Braces for a limb & compression socks |
Environmental control system |
Moving expenses |
Rocking bed |
Vitamin B12 injections |
Braille note-taker devices |
Extremity pump |
Needles and syringes |
School for persons with disabilities |
Voice recognition software |
Braille printers, synthetic speech systems |
Fertility-related procedures (not including surrogacy expenses) |
Note-taking services |
Scooter |
Volume control feature (additional) |
Breast prosthesis |
Furnace |
Nurse |
Service animals |
Walking aids |
Cancer treatment |
Gluten-free products |
Nursing home |
Sign-language interpretation services |
Water filter, cleaner, or purifier |
Catheters, catheter trays, tubing |
Group home |
Optical scanners |
Spinal brace |
Wheelchairs and wheelchair carriers |
Certificates |
Hearing aids |
Organ transplant |
Standing devices |
Whirlpool bath treatments |
Chair |
Heart monitoring devices |
Orthodontic work |
Talking textbooks |
Wigs |
Cochlear implant |
Hospital bed |
Orthopaedic shoes, boots, and inserts |
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Colostomy and ileostomy pads |
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Medical practitioners are regulated by province. To see if your service provider is eligible, check on the CRA's website!
If you don't find your expense listed, just reach out to us and we'll check it out! We have a list of odds and ends that are not typical expenses that are on our radar and we'll do the research needed if something is new, so you don't have to!
WHAT'S NOT ELIGIBLE?
Generally speaking, the following list of expenses are not eligible for reimbursement through your HSA.
- Athletic or fitness club fees
- Birth control devices (non-prescription)
- Blood pressure monitors
- Expenses for purely cosmetic procedures (Non-eligible cosmetic procedures include: liposuction, hair replacement procedures and botulinum injections; may qualify if necessary for medical or reconstructive purposes)
- Diaper services
- Health plan premiums paid by an employer and not included in your income
- Organic food
- Over-the-counter medications, vitamins, and supplements, even if prescribed by a medical practitioner
- Most provincial and territorial health plans
- Travel expenses under 40 kms
- Activity trackers such as Fitbit/Apple watch/Garmin etc