Can you use an HSA for eyeglasses, contacts, or lasik surgery? Yes. These expenses may not apply to your insurance deductible, though. Related articles What happens to the money in your HSA if you leave your job or retire? Do you pay for the full office visit when you go to the doctor? Can you take the money out of your HSA any time you want? Will you have a copay with an HSA? Can you use an HSA to pay for dental expenses and orthodontics?