David Imrie

Are you a small business owner who is troubled by the fact that the health premiums keep going up and the health benefits keep going down? Registered Health Spending Accounts solve this problem for small businesses in Canada by offering an alternative to traditional health insurance.

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A health spending account (HSA) is the best option for small business owners to pay employees' medical expenses on a tax-free basis. Business owners who provide HSAs to employees can benefit in three ways.


-    Reduce taxable income by deducting eligible medical expenses from gross income


-    Cut down on costs by avoiding high health insurance premiums


-    Eliminate deductible and co-payments


This makes the HSA one of the most cost-effective ways to provide health benefits to employees. But what medical expenses are eligible? You should continue reading this article to find out.

1. Medications

The costs of most medications that are prescribed by a licenced doctor are deductible. These include tablets, insulin, and medication patches. In addition, the cost of syringes and needles if prescribed by the doctor is deductible.

2. Full-Time Attendant Care

Attendant care costs are also a deductible expense. The remuneration paid to a full-time attendant to care for a patient with severe physical and mental impairment can be deducted. Also, the money paid for full-time care in a nursing clinic is an eligible medical expense under an HSA.

3. In-patient or Outpatient Treatment

The cost of inpatient treatment is also deductible. Any payments for care at a licensed private hospital or clinic is deductible. However, a qualified healthcare practitioner must certify that the stay at the hospital was necessary for treatment of a condition. In addition, any costs for inpatient treatment prescribed by a licensed practitioner is deductible.

4. Medical Supplies

The cost of medical devices such as prosthetics, artificial eyes, crutches, hearing aids, chest respirators, and others are also deductible expenses under an HSA. Any equipment purchases for managing or treating a disorder can be deducted.

5. Diagnostic Costs

Businesses can also deduct medical costs for diagnosis of an employee. These costs include X-rays, radiological lab tests, MRIs, and others. Any test that is carried out for preventing diseases or maintaining health that is prescribed by a registered practitioner can be deducted under the HSA.


Business owners who select an HSA don't have to pay standard premiums associated with traditional health insurance. They can write off medical expenses that can result in great cost savings. This is an effective option for consultants, contractors, and other small business owners to cut down on taxes.


The Complete List of CRA Allowable Medical Expenses

David Imrie

Dr. David Imrie founded RHSA Canada in 2009. Dr. Imrie is a medical doctor and former health insurance professional who has a passion for helping small businesses reduce their healthcare costs. As an executive in the insurance industry, he was shocked to find that so many common healthcare services are covered only partially by most insured plans, when employees were entitled to 100% coverage for all prescription drugs, dental services, and other healthcare expenses. Since leaving the insurance industry in 2001, Dr. Imrie committed to using newer technology to develop a better alternative program for small business health benefits.
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