In geographical terms the Caribbean area includes the Caribbean Sea and all of the islands located to the southeast of the Gulf of Mexico, east of Central America and Mexico, and to the north of South America.
An HSA is a special, tax-advantaged savings account you can use to pay for qualified medical expenses. You deposit money in your HSA, where it earns interest tax-free. Funds are not taxed when withdrawn for qualified medical expenses.
HSA money must be used for qualified medical expenses to remain tax-free. You can make tax-free withdrawals from your HSA to pay for these expenses as soon as . your account is activated, and ; you have an opening balance. There are two reasons why you would pay for qualifying medical expenses with funds outside the HSA account. The first is because you do not have enough money in the account to pay for the procedure.