Can an HSA be Used to Pay Bills from Previous Years?

Have you ever wondered if you can use your HSA to pay bills from previous years? Let's delve into this question and explore how an HSA can be utilized.

An HSA, or Health Savings Account, is a tax-advantaged savings account that allows you to set aside money for medical expenses. It offers a triple tax advantage - contributions are tax-deductible, the funds grow tax-free, and withdrawals for qualified medical expenses are also tax-free.

However, when it comes to paying bills from previous years, there are regulations that need to be considered:

  • HSAs are designed for current and future medical expenses, not for past bills.
  • Generally, you can only use your HSA to pay for qualified medical expenses that were incurred after you opened the account.

So, in most cases, you cannot use your HSA to pay bills from previous years. It is important to keep track of your medical expenses and use your HSA funds for eligible expenses in the year they are incurred.

If you use your HSA funds for non-qualified expenses or to pay bills from previous years, you may be subject to taxes and penalties.

It's essential to consult with a tax advisor or financial professional for guidance on HSA rules and regulations to ensure compliance.


Many people are curious if their HSA can cover medical expenses from previous years. Unfortunately, the primary function of an HSA is to facilitate savings for current and future medical expenses; thus, using it for past bills isn't allowed.

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