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This tax-exempt custodial account is used exclusively to pay or reimburse qualified medical expenses from you, your spouse and your dependents. To qualify, you must have a high-deductible health plan. Start your application, print it, and mail or bring it into one of our locations.


  • Easily access funds (Visa® Debit card, Digital Banking, online transfers, checks available)
  • FDIC insured
  • Monthly statements
  • Tax advantages1
  • No monthly fee (when $500 minimum balance requirement is met)2
  • Portable like an IRA; roll money into and out of the account

Examples of Eligible Medical Expenses

  • Acupuncture
  • Alcohol and drug addiction treatment
  • Breast reconstruction surgery
  • Dental treatment
  • Diagnostic tests and devices
  • Doctor’s visits
  • Prescriptions
  • Eyeglasses, contact lenses, and exams
  • Fertility enhancements
  • Hearing aids and batteries
  • Operations/surgery (non-cosmetic)
  • Nursing services
  • Physical therapy
  • Psychiatric care
  • Smoking cessation

Examples of Ineligible Medical Expenses

  • Cosmetic surgery
  • Diaper service
  • Electrolysis or hair removal
  • Funeral expenses
  • Health club dues
  • Illegal operations and treatments
  • Maternity clothes
  • Nutritional supplements
  • Over-the-counter medicines for which you do not have a doctor’s prescription
  • Toiletries (e.g., toothbrush, toothpaste)
  • Teeth whitening
  • Weight-loss programs (unless prescribed to treat a specific disease)

Questions about your HSA

Upon opening an HSA with First Bank & Trust, we’ll get you started with a Visa Debit card. This card will be your main source of payment for medical expenses. Checks are available upon request. You can access your funds like any other checking account – through Digital Banking or visiting your local bank.
Similar to a checking account, you’ll want to be aware of the balance in your account before making a payment. An HSA is different from a flexible spending account in that you can spend only the funds available, not all the funds that have been committed for the year. There are multiple ways to check your balance if you are questioning your balance before making a payment:
  • Log in to your Digital Banking account.
  • Call your local branch to speak with a Retail Banking Associate.
If you find yourself without your HSA Visa Debit card and need to make a qualified medical payment, you can use another form of payment and then reimburse yourself. Simply write a check to yourself from your HSA account - it’s that easy! Just be sure to keep all medical receipts for your records.
Absolutely! We understand that you may have started an account with a previous employer’s preferred HSA administrator. We’ll make transferring those funds easy so you have access to all your HSA funds in one account.

1For specific information, we encourage consulting a tax or legal professional. IRS Publication 969 (Health Plans), the instructions to IRS Form 8889, and the IRS's website (, may also provide helpful information.
2A service charge of $2 will be imposed every month if the average daily balance for the account falls below $500. The average daily balance is calculated by adding the principal in the account for each day of the statement cycle and dividing that figure by the number of days in the cycle.