Can HSA Be Used to Pay Off Medical Bills from Past Years?

Many people wonder if they can use their Health Savings Account (HSA) to pay off medical bills from past years. The short answer is yes, but there are some rules and considerations to keep in mind.

HSAs are a tax-advantaged savings account specifically for medical expenses. They are designed to help individuals save for current and future medical costs. Here are some key points to consider:

  • HSAs can be used to pay for qualified medical expenses incurred after the HSA was established.
  • Qualified medical expenses include a wide range of healthcare services, treatments, and products.
  • HSAs do not have a time limit on when you can use the funds, so you can use it to pay off medical bills from past years.
  • However, you must have established the HSA before the expenses were incurred to use the funds for reimbursement.
  • If you paid for past medical expenses out of pocket, you can reimburse yourself from your HSA as long as the expenses were incurred after the HSA was established.

It's important to keep accurate records and receipts of your medical expenses to ensure compliance with IRS guidelines. If you have any doubts about using your HSA for past medical bills, consult with a tax professional or financial advisor.


Many people are surprised to learn that they can use their Health Savings Account (HSA) to pay off medical bills from previous years. Yes, you can, but it's essential to understand the specific rules that apply.

HSAs are unique financial tools that allow individuals to save for current and future medical expenses with significant tax advantages. Here’s what you should keep in mind:

  • Expenses must be for qualified medical procedures or products that occurred after the establishment of your HSA.
  • Qualified medical expenses encompass a broad spectrum of services, including hospital visits, prescriptions, and dental work.
  • There's no expiration date on when you can use the funds from your HSA, which means you can indeed leverage it to settle medical debts from prior years.
  • To access your HSA funds for reimbursement, it’s crucial that your account was set up before the medical expenses were incurred.
  • If you've paid out of pocket for eligible past medical expenses, you can choose to reimburse yourself from your HSA, as long as these expenses were dated after your account was established.

Maintaining organized records and receipts of your medical expenditures is vital to stay within IRS compliance. If you're ever in doubt about how to correctly use your HSA for prior medical bills, seeking advice from a tax professional or a financial advisor might be beneficial.

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