Can Distributions from an HSA Be for Medical Expenses Paid in Prior Years?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses and saving for the future. One common question that arises is whether distributions from an HSA can be used for medical expenses paid in prior years. Let's explore this topic in detail.

Unfortunately, the IRS does not allow distributions from an HSA to be used for medical expenses that were incurred in prior years. The funds in an HSA must be used for qualified medical expenses incurred after the HSA was established. However, there are some exceptions to this rule:

  • If you incurred a qualified medical expense in a prior year but did not have an HSA at that time, you can still use HSA funds to reimburse yourself for that expense as long as the expense occurred after the HSA was established.
  • If you overcontributed to your HSA in a previous year and need to withdraw the excess contributions, you can use those funds for any purpose without penalty. However, you will need to pay income tax on the amount withdrawn.

It's important to keep detailed records of your medical expenses and HSA transactions to ensure compliance with IRS guidelines. While distributions from an HSA cannot be used for medical expenses paid in prior years, proper planning and documentation can help you make the most of your HSA funds.


Health Savings Accounts (HSAs) allow individuals to save money for medical costs while reaping tax benefits. However, one frequently asked question is whether you can use your HSA distributions for medical expenses incurred in previous years. Let’s break it down.

Unfortunately, the IRS stipulates that HSA funds can only be utilized for qualified medical expenses that occur after the account has been established. However, there are exceptions worth noting:

  • If you have a qualified medical expense from a prior year but didn't own an HSA at the time, you can still reimburse yourself from your HSA as long as the expense took place after you opened the account.
  • In cases where you've overcontributed to your HSA from a past year, you can withdraw those excess funds for personal use; just remember this will be subject to income tax.

Keeping meticulous records of your medical bills and HSA disbursements is crucial to adhere to IRS regulations. Although you cannot withdraw HSA funds for medical expenses from previous years, effective management and documentation can optimize your benefits.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter