Episodes
How to Use Your HSA as an Investment Account
Lucas and Luna explore the triple tax advantage of Health Savings Accounts and how to turn them into a powerful investment tool. They discuss the growing trend of using HSAs as retirement vehicles, the importance of not treating them like a checking account, and the strategy of paying medical expenses out of pocket to let investments grow tax-free. The episode covers investment options, the power of compound growth with a concrete example, and common pitfalls to avoid. A must-listen for anyone…
How Your HSA Can Pay for Weight Loss Programs
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dig into a question many listeners have wondered about: can you use your HSA to pay for weight loss programs? The answer is yes, but only under specific conditions. They break down the IRS rules around obesity as a diagnosed disease, the difference between weight loss for general health versus medical necessity, and how a simple letter from your doctor can unlock HSA eligibility. Lucas walks through a concrete example: a…
How HSAs Cover Hearing Aids and Audiology Costs
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dive into a commonly overlooked HSA expense: hearing aids and audiology services. With millions of Americans experiencing hearing loss, many miss out on using their HSA dollars for these costly but essential items. Lucas breaks down the IRS guidelines that classify hearing aids, batteries, repairs, and even cochlear implants as eligible medical expenses, while Luna shares a surprising stat about the average cost of hearing…
How to Use Your HSA to Pay for Home Health Care
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a powerful but often overlooked use of HSA funds: paying for home health care. They discuss what counts as eligible home health care under IRS rules, the difference between skilled nursing care and homemaker services, and how HSAs can help families manage the high costs of aging in place. The hosts walk through a real-world example: a family using their HSA to cover part-time home health aide costs for an elderly…
How Your HSA Can Cover Laser Eye Surgery
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna break down the rules for using your HSA to pay for LASIK and other laser eye surgeries. They explain why LASIK is an eligible medical expense under IRS guidelines, how to handle the cost with pre-tax dollars, and what receipts and documentation you should keep. They also touch on how to compare the one-time cost of surgery versus ongoing contact lens and glasses expenses, and how an HSA can help you plan for the procedure…
How to Use HSAs for Long-Term Care Insurance Premiums
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a lesser-known but powerful use of HSA funds: paying for long-term care insurance premiums. They break down IRS rules, including the age-based contribution limits that change annually and the key distinction between tax-qualified and non-qualified policies. The hosts share practical examples—like how a 55-year-old can use HSA dollars to cover a $2,200 annual premium—and compare long-term care insurance against…
How Your HSA Can Cover Fertility Preservation Costs
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a lesser-known but powerful use of your HSA: covering fertility preservation costs. From egg freezing and sperm banking to embryo storage, they break down what's eligible, how to document expenses, and why planning ahead can save you thousands. They discuss the triple tax advantage — tax-deductible contributions, tax-free growth, and tax-free withdrawals for qualified medical expenses — and how fertility…
How to Reimburse Yourself from Your HSA
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explain the often-misunderstood process of reimbursing yourself from your HSA. They cover the difference between paying with the HSA card and paying out-of-pocket to let the money grow, the importance of keeping receipts, and the rules for reimbursing yourself months or even years later. They also break down the tax implications, the deadline for reimbursements, and how to handle the death of the account holder. With…
How HSAs Cover Dental Implants and Major Dental Work
In Episode 164 of Health Savings Accounts with Fexingo, Lucas and Luna dig into one of the most common health-care blind spots: major dental work. While routine cleanings and fillings are usually covered by dental insurance, implants, crowns, bridges, and periodontal surgery can run thousands of dollars out of pocket. The hosts explain how HSAs can step in, what expenses qualify under IRS rules, and why a little planning can turn a high-cost procedure into a tax-advantaged investment. They walk…
How Your HSA Can Cover Mental Health Therapy Costs
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used for mental health therapy and counseling. They walk through eligible expenses like psychotherapy sessions with licensed professionals, psychiatric care, and even online therapy platforms, clarifying the IRS rules and what documentation you should keep. They also discuss the 2026 update that allows HSAs to cover certain mental health apps and wellness programs, and how to handle reimbursement for…
HSA Assets After You Turn 65
When you turn 65, your Health Savings Account changes its stripes: the 20 percent penalty disappears, and you can use the money for anything—but that doesn't mean you should. In this episode, Lucas and Luna walk through the real mechanics of Medicare, the end of HSA contributions once you enroll, and the two distinct tax treatments that kick in at 65. They break down why keeping a 'medical-only' mental model for your HSA can still be the smartest move, especially if you want to let those assets…
HSA Reimbursement Rules for Medical Travel and Lodging
Episode 161 of Health Savings Accounts with Fexingo breaks down the IRS rules for using HSA funds to cover travel and lodging for medical care. Lucas and Luna dig into the key distinctions: what counts as 'primarily for' medical care, the per-person and per-day lodging limits, and why a trip to a warmer climate for a chronic condition usually won't pass IRS scrutiny. They walk through a real-world example of a patient traveling for a specialist consultation and how to document it properly, plus…
How Your HSA Covers Nursing Home Care
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a less-talked-about HSA expense: long-term nursing home care. They break down what the IRS allows, how HSA funds can cover skilled nursing facilities, memory care, and even some assisted living costs—if you structure it right. Using a concrete example, they walk through how a couple might plan for a $90,000 annual nursing home bill, showing the triple tax advantage in action. They also touch on the 2026 contribution…
How HSAs Cover Orthodontics and Braces
In this episode of Fexingo Business, Lucas and Luna dive into using Health Savings Accounts for orthodontic care, specifically braces and Invisalign. They explore what qualifies as an eligible medical expense under IRS rules, including how the cost of braces for both adults and children can be paid with HSA funds. The hosts break down the tax advantages—pre-tax contributions, tax-free growth, and tax-free withdrawals for qualified expenses—and compare them to using flexible spending accounts.…
How Your HSA Covers Acupuncture and Alternative Medicine
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore the surprisingly broad world of HSA-eligible alternative medicine. They start with the IRS's own definition of medical care, which includes acupuncture but excludes most other complementary therapies, and unpack the 2019 clarification that made acupuncture specifically eligible. They walk through what's covered—acupuncture for any reason, chiropractic (already covered in a prior episode), and some forms of…
HSA Eligible Expenses After Job Loss
Losing a job is stressful, and figuring out what your HSA can still cover complicates things. In this episode, Lucas and Luna break down the rules around HSA-eligible expenses after a layoff or job change. They cover COBRA, the August 10, 2026 federal ruling that made certain expenses eligible, how to handle an HSA when you switch jobs, and what happens if you're no longer enrolled in a high-deductible health plan. They also discuss the one-year grace period for using remaining funds and common…
How Your HSA Can Cover Orthotics and Custom Insoles
Episode 156 of Health Savings Accounts with Fexingo digs into a question many listeners have: can your HSA pay for custom orthotics and insoles? Lucas and Luna break down the IRS rules, the difference between medical necessity and general comfort, and how a simple letter of medical necessity can turn an out-of-pocket expense into a tax-free one. They walk through real-world examples, from over-the-counter insoles to podiatrist-prescribed custom orthotics, and explain why documentation matters…
How to Use Your HSA for Medical Travel and Lodging
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a surprisingly flexible HSA benefit: covering travel and lodging for medical care. They dig into the IRS rules that allow you to use HSA funds for transportation, flights, hotels, and even meals when you travel for a specific medical treatment. They discuss real-world scenarios like traveling to a specialist, participating in a clinical trial, or seeking care in another state. Listeners will learn what's eligible…
How HSAs Cover IVF and Fertility Medications
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna drill into a question many listeners have: can you really use your HSA to pay for IVF and fertility medications? The answer is yes, but with important nuances. They walk through the IRS rules that classify fertility treatments as eligible medical expenses, including how IVF cycles, egg retrieval, embryo storage, and even travel for treatment can qualify. They also unpack the limits: what counts as 'medical' versus personal…
How Your HSA Can Cover Prescription Sunglasses and UV Protection
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a surprisingly common and often overlooked HSA-eligible expense: prescription sunglasses and UV-protective eyewear. They break down the IRS rules that make prescription sunglasses with UV coating eligible, while clarifying why non-prescription sunglasses typically don't qualify. The conversation covers real-world scenarios, from photochromic lenses to progressive bifocals, and explains how to document eligibility…
How Your HSA Covers Over-the-Counter Medications
Step into the world of Health Savings Accounts with hosts Lucas and Luna as they uncover a game-changing update for your wallet: the 2026 rule change that lets you use HSA funds for everyday over-the-counter medications without a prescription. Discover how this simple shift expands your tax-advantaged spending options, from allergy relief to pain management. We'll walk through real examples, like the family stocking up on children's fever reducers or the commuter buying motion sickness tablets…
How Your HSA Can Cover Chiropractic Care and Spinal Adjustments
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how your HSA can cover chiropractic care and spinal adjustments. They break down the IRS rules around chiropractic services, what qualifies as a medical expense, and what doesn't, such as maintenance adjustments without a specific condition. With a focus on practical advice, they explain how to document medical necessity, the importance of a letter of medical necessity from your chiropractor, and how to maximize…
How Your HSA Can Cover Gym Memberships and Fitness Programs
In this milestone 150th episode of Health Savings Accounts with Fexingo, hosts Lucas and Luna explore the surprisingly tricky question of whether your HSA can pay for gym memberships and fitness programs. They break down the IRS rules, unpack the difference between general wellness and medical treatment, and highlight the specific conditions—like obesity, hypertension, and diabetes—that can make a gym membership eligible. They also discuss the growing trend of 'exercise is medicine' and how…
How HSAs Cover Travel Vaccines and International Shots
Planning a trip abroad? Your HSA can reimburse travel vaccines, malaria pills, and even certain medications you buy at a foreign pharmacy. In this episode, Lucas and Luna break down the IRS rules that make travel immunizations a qualifying medical expense, using the CDC's official vaccine schedule as a guide. They walk through a concrete example: a couple heading to Southeast Asia spending $450 on hepatitis A, typhoid, and Japanese encephalitis shots — and how to pay for it with pre-tax HSA…
How Your HSA Can Cover Home Medical Equipment
In this episode, Lucas and Luna explore how Health Savings Accounts can be used for home medical equipment, from wheelchairs and hospital beds to blood pressure monitors and CPAP machines. They break down the IRS rules that make these purchases eligible, explain the importance of a Letter of Medical Necessity, and share practical tips on documentation and reimbursement. Whether you're planning for aging parents, managing a chronic condition, or just want to be prepared, this episode offers a…
How Your HSA Covers Home Modifications for Medical Needs
Did you know your HSA can pay for home modifications like ramps, grab bars, and stairlifts? In this episode, Lucas and Luna break down the IRS rules for eligible home improvements when they're medically necessary. They explain what qualifies, what documentation you need (typically a Letter of Medical Necessity from your doctor), and highlight key examples from simple grab bars to full bathroom remodels. They also caution against common pitfalls, like mixing capital improvements with routine…
How Your HSA Can Cover Fertility Treatments and IVF
In this episode, Lucas and Luna explain how Health Savings Accounts can be used to pay for fertility treatments such as IVF, egg freezing, and fertility medications. They dive into IRS rules on medical necessity, the difference between elective and medically-indicated egg freezing, and how the triple tax advantage can save thousands on expensive procedures. Plus, they cover travel expenses for fertility appointments and what documentation you need. If you're facing fertility challenges, this…
How Your HSA Covers LASIK and Vision Correction Surgery
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna dive into using your HSA for LASIK and other vision correction surgeries. With costs ranging from $2,000 to $4,000 per eye, many people wonder if this elective procedure is HSA-eligible. The answer is yes—LASIK, PRK, and similar treatments qualify as medical expenses under IRS guidelines. Lucas explains the triple tax advantage: you contribute pre-tax, the funds grow tax-free, and withdrawals for LASIK are tax-free. They…
Using Your HSA for Telemedicine and Virtual Care
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSA funds can cover telemedicine and virtual healthcare services. With telemedicine visits now accounting for nearly 20% of all medical consultations, many people overlook that these virtual appointments are fully HSA-eligible. The hosts break down what qualifies—from video visits with doctors and therapists to remote monitoring devices and digital health subscriptions. They discuss specific examples like…
Using Your HSA for Dental Implants and Restorative Dentistry
Episode 143 of Health Savings Accounts with Fexingo explores how your HSA can cover dental implants and restorative dentistry. Lucas and Luna break down the triple tax advantage on a single implant costing $3,000 to $6,000 — saving a 24% bracket earner up to $720 in taxes immediately. They cover the full procedure: implant, abutment, crown, even bone grafting. Learn how to pair your HSA with dental insurance, why keeping receipts is essential, and how investing HSA funds for future dental care…
How to Use Your HSA for COBRA Premiums
Most people know HSAs cover doctor visits and prescriptions, but few realize they can also pay for COBRA health insurance premiums tax-free. In this episode, Lucas and Luna break down the IRS rule, walk through a real-world example of a family using their HSA to cover $1,500 monthly COBRA payments, and explain how the triple tax advantage makes this a powerful tool during job transitions. They also touch on the strategy of keeping receipts for future reimbursement. If you've ever lost a job or…
Using Your HSA for Mental Health Therapy and Counseling
Episode 141 of Health Savings Accounts with Fexingo explores how HSAs can cover a wide range of mental health services, including therapy sessions with licensed psychologists, psychiatrists, and counselors, as well as prescribed psychiatric medications and even digital therapy platforms like BetterHelp or Talkspace—if a Letter of Medical Necessity is obtained. Lucas and Luna break down the IRS rules, discuss the triple tax advantage applied to mental health spending, and share a concrete…
Using Your HSA as a Retirement Wealth Builder
Most HSA holders leave their balances in cash—missing out on decades of tax-free growth. In this episode, Lucas explains how to invest your HSA contributions into low-cost index funds, using a concrete example of a 30-year-old who could build over $400,000 by retirement. Luna asks about reimbursement strategies and catch-up contributions. Plus: how to tie your investment approach to your health spending timeline. If you've been treating your HSA as a checking account, this episode might change…
Over-the-Counter Medications Your HSA Can Cover
Since the CARES Act of 2020, Health Savings Accounts can pay for over-the-counter medications and menstrual products without a prescription. Lucas and Luna break down what's eligible—from pain relievers and allergy meds to sunscreen and feminine care—and how to save receipts. If you've been avoiding HSA reimbursements for OTC items, you're leaving money on the table. This episode covers the rules, the IRS list, and a smart strategy to stack receipts for future tax-free withdrawals. #HSA…
2026 HSA Contribution Limits and Strategies
In this episode, Lucas and Luna break down the newly announced 2026 HSA contribution limits: $4,300 for self-only and $8,600 for family coverage, plus the $1,000 catch-up for those 55 and older. They explain how the numbers have shifted from 2025, the crucial deadline to contribute (Tax Day 2027), and the pro-rata rules if you change plans mid-year. Lucas walks through the 'last-month rule' that lets you contribute the full amount if you have a high-deductible health plan on December 1, but…
How Your HSA Can Cover Hearing Aids and Hearing Health
Nearly 30 million Americans over 50 have hearing loss, yet most don't realize their HSA can cover the full cost of hearing aids, tests, and even cochlear implants. Lucas and Luna break down the IRS eligibility rules, how to get a Letter of Medical Necessity, and the actual tax savings — up to $1,250 on a $5,000 pair of hearing aids for someone in the 25% bracket. They also debunk the myth that only employer-provided hearing benefits apply, and explain why audiology copays, batteries, and repair…
Using Your HSA for Medicare Premiums
As millions of baby boomers turn 65, a critical question emerges: can you use your Health Savings Account to pay for Medicare premiums? Lucas and Luna break down the specific rules—what's covered (Part B, Part D, Medicare Advantage), what's not (Medigap), and the strategic tradeoff between spending HSA funds now on premiums vs. letting them grow tax-free for future medical expenses. They also explain the 'no contributions after Medicare enrollment' rule and how to use the receipt-retention…
How Your HSA Can Cover Long-Term Care Insurance Premiums
Most people know HSAs cover doctor visits and prescriptions, but fewer realize you can use pre-tax HSA dollars to pay long-term care insurance premiums. In this episode, Lucas and Luna break down the IRS rules, including the age-based deduction limits for 2026. They explain how paying premiums from an HSA can provide triple tax savings, and discuss the strategy of using HSA funds to cover premiums in retirement to potentially reduce taxable income. Listeners will learn the specific dollar caps…
How Your HSA Can Cover Medical Travel Abroad
Episode 134 of Health Savings Accounts with Fexingo explores a little-known HSA strategy: using your account to pay for medical travel abroad. Lucas and Luna break down the IRS rules, using the example of a hip replacement in Spain that costs $15,000 versus $50,000 in the U.S. They discuss what expenses qualify—flights, lodging, even a caregiver's travel—and what doesn't, like sightseeing or meals. The episode also covers how to document your trip, the importance of a Letter of Medical…
How Your HSA Can Cover Acupuncture and Alternative Medicine
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can be used for acupuncture, chiropractic care, naturopathy, and other alternative medicine treatments. They discuss IRS guidelines, the need for a Letter of Medical Necessity, and share real-world examples, including a case where a patient saved over $1,200 on fertility-related acupuncture. The hosts also touch on how alternative medicine is gaining acceptance in conventional healthcare, with spending on…
How Your HSA Can Cover Breastfeeding Supplies and Lactation Support
Episode 132 dives into a lesser-known HSA-eligible expense: breastfeeding supplies and lactation support. Lucas and Luna break down the IRS guidelines that make breast pumps, nursing bras, nipple shields, and lactation consulting fees reimbursable with pre-tax dollars. They discuss the IRS Publication 502 language, specific reimbursement examples, and how to document these expenses properly. The conversation also touches on the broader implications for new parents navigating healthcare costs…
How Your HSA Can Cover Air Purifiers and Allergy Relief
Episode 131 of Health Savings Accounts with Fexingo explores a surprising eligible expense: air purifiers and high-efficiency HVAC filters for allergy and asthma relief. Lucas and Luna break down the IRS criteria for medical-purpose home equipment, citing the 2024 IRS Publication 502 guidelines and a real-world example of a listener who claimed a $1,200 HEPA system. They discuss the difference between general wellness and documented medical need, how to get a Letter of Medical Necessity from…
HSAs for Orthodontics Adult Braces and Invisalign
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can cover orthodontic treatment for adults, including braces and Invisalign. They break down IRS guidelines, the difference between cosmetic and medically necessary orthodontia, and real-world examples like a listener who used her HSA to pay for clear aligners. They also discuss how to combine FSA dollars with HSA funds for maximum tax advantage, and why more adults are investing in orthodontic care later…
How Your HSA Can Cover Gym Memberships and Fitness Classes
Can you use your Health Savings Account to pay for a gym membership? The answer is more nuanced than a simple yes or no. In this episode, Lucas and Luna unpack the IRS rules on medical expenses and fitness, focusing on the key distinction between general health and treatment of a specific medical condition. They examine a real-world example: a listener with a diabetes diagnosis who got their CrossFit membership reimbursed by their HSA after obtaining a Letter of Medical Necessity from their…
How To Use Your HSA For Pet Medical Expenses
In episode 128 of Health Savings Accounts with Fexingo, Lucas and Luna explore whether you can use your HSA to pay for your pet's medical expenses. They dive into the IRS rules on qualified medical expenses, the distinction between service animals and pets, and a little-known strategy involving a doctor's letter of medical necessity. You'll learn exactly what counts, what doesn't, and how a 2023 IRS clarification opened the door for certain animal-related costs. Plus, an honest conversation…
How Your HSA Can Cover Prescription Sunglasses and Vision Protection
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a frequently overlooked eligible expense: prescription sunglasses and UV-protective eyewear. They break down IRS guidelines on vision protection, the difference between general-purpose sunglasses and medically necessary prescription shades, and how to use your HSA for transition lenses, photochromic glasses, and sports goggles with corrective lenses. Specific examples include a listener who used HSA funds for…
How Your HSA Can Cover Home Care and Caregiver Services
Episode 126 explores how Health Savings Accounts can pay for in-home care, caregiver services, and assisted living expenses. Lucas and Luna break down the IRS rules, what qualifies as a medical expense, and how families can use HSAs to offset the cost of caring for aging parents or disabled relatives. They discuss real examples, the importance of a diagnosis letter, and the triple tax advantage when paying for long-term care out of pocket. If you're planning for elder care or supporting a…
How HSAs Cover Fertility Treatments and Family-Building Expenses
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how HSAs can cover fertility treatments, IVF, egg freezing, surrogacy-related medical expenses, and adoption costs. They break down IRS rules, discuss real-world examples like the $20,000 IVF cycle, and explain how to maximize your triple-tax advantage for family-building. A must-listen for anyone planning a family or curious about the boundaries of HSA-qualified expenses. #HealthSavingsAccounts #FexingoBusiness…
How Your HSA Can Cover Weight Loss Programs and Nutrition Counseling
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore a lesser-known use of HSAs: covering weight loss programs and nutrition counseling. They discuss IRS guidelines, what qualifies as a medical diagnosis for weight loss, and how to maximize your HSA for structured programs like Weight Watchers or dietician visits. Lucas shares a specific example of a listener who used HSA funds for a doctor-prescribed weight loss program, saving over $1,200 in taxable income. They…
How Your HSA Can Cover Home Renovations for Medical Needs
In this episode of Health Savings Accounts with Fexingo, Lucas and Luna explore how you can use your HSA to pay for home renovations that accommodate medical conditions. They break down the IRS rules, the 'medical necessity' standard, and share a concrete example: a homeowner with mobility issues used HSA funds to widen doorways, install grab bars, and add a wheelchair ramp. They also discuss how shower modifications, stair lifts, and even central air conditioning for severe allergies may…
Showing the latest 50 episodes. The full archive of 172 is on Apple Podcasts, Spotify and every major podcast app — or via the RSS feed above.