What You Need to Know
Transportation costs related to medical care are a frequently overlooked HSA-eligible expense. The IRS allows you to deduct the cost of traveling to and from a doctor, dentist, hospital, or other medical provider. You can either track actual gas costs or use the IRS standard medical mileage rate (20.5 cents per mile for 2026, per IRS Notice 2026-10). Parking fees and tolls at medical facilities also qualify. If you need to travel out of town for treatment, lodging costs up to $50 per night per person are eligible as well. These small expenses add up fast, especially if you have regular appointments.
What Qualifies
- ●Mileage driven to and from medical appointments (IRS medical mileage rate or actual gas costs)
- ●Parking fees at hospitals, clinics, and medical offices
- ●Tolls paid while driving to medical appointments
- ●Bus, taxi, rideshare (Uber/Lyft), or train fare to medical appointments
- ●Ambulance transportation
- ●Lodging for out-of-town medical treatment (up to $50 per night per person)
- ●Airfare or long-distance travel for treatment not available locally
- ●Travel costs for a parent or guardian accompanying a child to medical care