Can HSA Distributions be Used for Qualified Expenses in Previous Years?

When it comes to Health Savings Accounts (HSAs), one common question that arises is whether HSA distributions can be used for qualified expenses in previous years. In short, HSA distributions cannot be used to pay for expenses incurred in previous years. However, there are certain exceptions and nuances to this rule that are important to understand.

Here are some key points to keep in mind:

  • HSA funds must be used for qualified medical expenses that occur after the HSA has been established.
  • If you incurred a qualified medical expense before opening an HSA, you cannot use HSA funds to reimburse yourself for that expense.
  • However, you can keep track of these expenses and use HSA funds to reimburse yourself at a later date, as long as the expense was incurred after the HSA was established.
  • It’s essential to maintain proper documentation and receipts for all qualified medical expenses to ensure compliance with IRS regulations.
  • Consult with a tax professional or financial advisor if you have specific questions about using HSA funds for past expenses.

While HSA distributions cannot be used for expenses from previous years, understanding the rules and exceptions can help you make the most of your HSA benefits.


When delving into the world of Health Savings Accounts (HSAs), many individuals wonder about the capability of using HSA distributions for qualified expenses incurred in previous years. Unfortunately, the simple answer is that expenses must occur after you have established your HSA to be eligible for reimbursement with those funds.

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