What typically qualifies
- The procedure cost itself — if it meets the IRS definition of medical care (diagnosis, cure, mitigation, treatment, or prevention of disease)
- Transportation costs — travel primarily for and essential to medical care
- Lodging directly related to care — historically capped around $50 per night, per person, under IRS Publication 502's lodging provision, and only for lodging that's primarily for and essential to receiving the care
What typically doesn't qualify
- Purely cosmetic procedures with no underlying medical purpose (this is a genuinely gray area — some reconstructive or medically-indicated cosmetic work may qualify; purely elective cosmetic enhancement generally does not)
- A companion's travel and lodging, in most cases, unless the companion's presence is medically necessary (for example, accompanying a minor or someone unable to travel alone)
- Meals, sightseeing, and general trip costs beyond what's directly tied to the care itself
Tax and HSA/FSA rules are general information, not tax advice — confirm specifics with a tax professional or your plan administrator before relying on them.
How to actually use this
Keep every receipt itemized and separate — procedure fee, transportation, and lodging as distinct line items — and confirm eligibility with your specific plan administrator before you travel, not after. This matters most for higher-cost categories like colombianivf.com or colombiastemcelltreatment.com, where the dollar amounts at stake are largest.
The Takeaway
Don't assume eligibility — confirm with your plan administrator before you travel, and keep itemized receipts for the procedure, transportation, and lodging separately.