Qualified HSA distributions
Qualified HSA distributions are distributions made for eligible medical expenses and thus are not subject to either income tax at your ordinary rate or to the 20% penalty for nonqualified distributions.
Eligible medical expenses generally include those that would generally be considered tax-deductible if you meet the threshold for deducting medical expenses. IRS Publication 502 has a detailed list of what medical expenses you can pay with HSA funds in order for the distribution to be considered qualified. They include prescription drugs, most types of dental care, chiropractic care, acupuncture, fertility treatments, eyeglasses and contact lenses, service animals, and more.
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