Can you use your HSA for mileage to the doctor?
Yes. Driving to medical care counts at the IRS medical rate, 20.5¢ a mile through June 2026 and 23.5¢ from July 1, plus parking and tolls.
The rule
Travel primarily for and essential to medical care counts. In a car you can use the standard medical rate, which the IRS raised partway through 2026: 20.5¢ a mile from January 1 to June 30, and 23.5¢ from July 1. Or count what you actually spent on gas and oil, but not insurance, repairs or depreciation.
Parking and tolls count on top, either way. So do bus, taxi, train and plane fares, and the fare of a parent who has to go with a child.
- What to keep
- A log of each trip: the date, where you went, the miles and the care it was for, with parking and toll receipts.
- Watch for
- Getting to and from work never counts, even if a condition means you need an unusual way of getting there.
- A trip for the general improvement of your health doesn’t count.
Checked on October 2, 2026 against Standard mileage rates and Publication 502, Medical and Dental Expenses. An estimate for your records, not tax advice.
Keep the receipt. Take the money out later.
Pay a medical bill yourself and Reimburse keeps the receipt, with who it was for, until you take the money out of your HSA tax-free.