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