Guide

Health Spending Account in BC

100+ Eligible Medical Expenses

If you run an incorporated business in BC, a Health Spending Account (HSA) gives you a smarter way to cover personal medical expenses using corporate funds.

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Hiveworks makes it easy to stay fully aligned with CRA rules while maximizing your tax efficiency.

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What is a Health Spending Account?

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A Health Spending Account lets your corporation pay for your eligible medical costs without triggering taxable income.

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You pay first, submit your receipt, and once approved, your business reimburses you.

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The result? It’s tax-free for you and fully deductible for your company.

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There’s no need for monthly premiums or restrictive group insurance. HSAs offer flexibility, simplicity, and control.

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Need a full breakdown? Visit our Health Spending Account page.

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Why BC Business Owners Choose HSAs

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Even in a province with strong public health care, out-of-pocket expenses like dental, vision, mental health, or therapy add up quickly, especially when you’re paying with after-tax income.

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An HSA lets you move those expenses into your corporation, keeping more of what you earn.

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Example:
Earning $125,000 with $6,000 in medical costs? You could save over $3,400 compared to paying personally.

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Use our HSA Savings Calculator to estimate your savings based on BC income levels.

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What’s Covered Under an HSA?

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With a Health Spending Account in British Columbia, you can claim expenses from a wide range of licensed practitioners. The service must appear on the CRA’s Medical Expense Tax Credit (METC) authorized practitioners list.

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The full list of eligible practitioners in BC:

  • Acupuncturist
  • Audiologist
  • Chiropractor
  • Dental hygienist
  • Dental technician or technologist
  • Dentist
  • Denturist, dental mechanic, denturologist
  • Dietician
  • Emergency medical technician
  • Hearing aid practitioner
  • Licensed or registered practical nurse
  • Midwife
  • Naturopath
  • Occupational therapist
  • Optician
  • Optometrist
  • Pharmacist
  • Physician
  • Physiotherapist or physical therapist
  • Podiatrist
  • Psychological associate
  • Psychologist
  • Registered massage therapist or massage therapist
  • Registered nurse (including nurse practitioner)
  • Registered psychiatric nurse
  • Social worker
  • Speech language pathologist
  • Surgeon
  • Traditional Chinese medicine practitioner

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From everyday dental visits to specialized therapies, your HSA in British Columbia ensures a broad range of licensed professionals are covered, making your health spending more efficient.

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Over 100 medical related expenses are also covered.
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Examples of eligible medical expenses include:

  • Braces and Invisalign
  • Eye care (exams, prescription glasses, contact lenses, laser eye surgery)
  • Prescription medications
  • Orthotics and orthopedic footwear
  • Group benefit premiums not reimbursed elsewhere

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See the full list in our Eligible Expenses Guide.

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Built for BC’s Incorporated Professionals

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Hiveworks can easily support incorporated businesses across British Columbia, from Vancouver to Kelowna to Victoria.

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Our platform helps you:

  • Set your annual reimbursement cap (up to $15,000)
  • Add your spouse and dependants at no extra cost
  • Submit multiple claims anytime
  • Track reimbursements online
  • Access clean reports at tax time

No paperwork. No claim-by-claim admin fees. Just one flat rate.

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Am I Eligible?

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Eligibility is straightforward. Take a moment to review the eligibility details.

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Already Have Benefits? Your HSA Still Helps

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Many employer or spousal plans don’t cover 100% of your costs. An HSA helps with what’s left over.

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You can claim:

  • The uncovered portion of medical or dental expenses
  • Vision costs beyond your plan’s annual max
  • Services excluded by your plan (e.g. orthodontics, acupuncture, or LASIK)

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Learn more about Combining HSAs with Group Benefits or Spousal Plan Coordination.

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Flat Annual Fee. No Surprises.

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With Hiveworks, you pay one simple annual fee, with no per-claim admin charges.

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That includes:

  • Up to $15,000 in claims
  • Unlimited submissions
  • Spouse and dependants expenses
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No monthly fees or hidden charges.

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