The Complete HSA Eligibility List

Here it is — the most-comprehensive eligibility list available on the web. From A to Z, items and services deemed eligible for tax-free spending with your Flexible Spending Account (FSA), Health Savings Account (HSA), Health Reimbursement Arrangement (HRA) and more will be here, complete with details and requirements. Important Reminder: HSAs, FSAs, HRAs and other account types listed may not all be the same. Be sure to check with your administrator to confirm if something is eligible before making a purchase.

Here it is — the most-comprehensive eligibility list available on the web. From A to Z, items and services deemed eligible for tax-free spending with your Flexible Spending Account (FSA), Health Savings Account (HSA), Health Reimbursement Arrangement (HRA) and more will be here, complete with details and requirements. Important Reminder: FSAs, HRAs and other account types listed may not all be the same. Be sure to check with your administrator to confirm if something is eligible before making a purchase.

Saline Nasal Spray: HSA Eligibility

Saline Nasal Spray: eligible with a Health Savings Account (HSA)
Saline nasal spray is eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), or a health reimbursement arrangement (HRA). Saline nasal spray is not eligible with a dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

HSA Eligible Cold & Allergy Medicine

Under IRC 213(d)(1), "medical care includes amounts paid for the diagnosis, cure, mitigation, treatment, or prevention of disease, or for the purpose of affecting any structure or function of the body." This includes medical equipment and devices.

What is saline nasal spray?

Saline nasal spray is an Over-the-Counter (OTC) medical product designed to irrigate, hydrate and cleanse the nasal passages using saline solution (salt water).

There are three primary types of nasal sprays that could provide some relief for cold sufferers, including decongestants, salt-water (saline) solutions and steroid nasal sprays. Decongestant sprays fight nasal congestion by narrowing blood vessels in the lining of the nose, which provides relief from inflammation and shrinks swollen tissues. Saltwater solutions do not contain any medication, but can be helpful in loosening mucous in the nasal passages so it can be expelled normally. Finally, steroid nasal sprays are available as OTC or prescription products and reduce swelling and mucous buildup in the nasal passageways, and they are extremely effective in treating allergic rhinitis, sinus infection and common cold symptoms (WebMD).

How do saline nasal sprays work?

Saline nasal sprays work by spraying a gentle mist of salt water through a one-way nozzle that remains sterile inside the bottle. They are designed to be used in conjunction with other cold medications but can also be used alone. The spray should be applied and then allowed to run out of the nasal passages, bringing external debris and dust along with it. Saline nasal sprays should be used above a sink and with running water available for rinsing and cleanup afterwards.

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