Can HSA be Used for Last Year Expenses? Exploring the Possibilities

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, providing individuals with a tax-advantaged way to save for current and future medical costs. But what about using an HSA for expenses from the previous year?

Typically, HSAs are designed to cover current and future medical expenses. However, there are certain situations where you may be able to use HSA funds for expenses incurred in the previous year. Let's explore the possibilities:

  • Reimbursement for eligible expenses: If you incurred a qualified medical expense in the previous year but did not have enough funds in your HSA at that time, you can reimburse yourself from your HSA once you have sufficient funds.
  • COBRA premiums: If you elect to have COBRA coverage after leaving a job, you can use your HSA to pay for the premiums retroactively, including premiums from the previous year.
  • Correcting overcontributions: If you mistakenly overcontributed to your HSA in the previous year, you can withdraw the excess amount and use it to cover eligible medical expenses from that year.

It's important to note that using HSA funds for expenses from the previous year should be done in compliance with IRS regulations to avoid any penalties. Keeping detailed records of your expenses and contributions is crucial for auditing purposes.


Health Savings Accounts (HSAs) offer an excellent way to manage healthcare costs effectively and tax-efficiently. But did you know that you can potentially utilize your HSA funds for expenses incurred last year? Let’s dive into how this works.

While HSAs primarily focus on covering medical expenses as they arise, there are certain circumstances where prior year expenses can be reimbursed using your HSA. Here are the key possibilities:

  • Reimbursement for previous expenses: If you faced a qualifying medical expense last year but lacked the necessary funds in your HSA at that moment, you can still reimburse yourself from your HSA as long as you have contributed sufficient funds later on.
  • COBRA health insurance premiums: If you decided to continue your health insurance coverage through COBRA after employment, your HSA can be used for retroactive premium payments, including those billed in the previous year.
  • Correcting overcontributions: If you mistakenly contributed more to your HSA than allowed in the previous year, any excess can be withdrawn and used to offset eligible expenses from that year.

Keep in mind that using HSA funds in this manner must adhere to IRS guidelines to avoid any tax penalties. Maintaining clear records of your medical expenses and contributions is vital for compliance and auditing purposes.

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