Can I Pay 2018 Bills in 2019 with HSA?

Are you wondering if you can use your HSA to pay bills from a prior year? Let's delve into this common question and shed some light on how Health Savings Accounts work.

Health Savings Accounts (HSAs) are a valuable financial tool that allows individuals to save for qualified medical expenses on a tax-free basis. However, there are specific rules regarding the timing of using HSA funds for bill payments.

When it comes to paying bills with your HSA, the general rule is that you can only use HSA funds to pay for qualified medical expenses that were incurred after your HSA was established. This means that you cannot use your HSA to pay for medical expenses that occurred before you opened your HSA account.

So, if you incurred medical expenses in 2018 but didn't open an HSA until 2019, you would not be able to use your HSA funds to pay for those 2018 bills. However, there are some exceptions and additional points to consider:

  • You can use your HSA to pay for qualified medical expenses that occurred in a prior year if you incurred those expenses after you opened your HSA account.
  • If you overcontributed to your HSA in a previous year and need to correct the excess contribution in a subsequent year, the excess amount can be used to pay for medical expenses from the prior year.
  • It's important to keep detailed records of your medical expenses and HSA contributions to ensure compliance with IRS regulations.

Ultimately, while you cannot use your HSA to pay for medical bills from a year before your HSA was established, you can use HSA funds for eligible medical expenses incurred after your account was opened. Understanding these rules can help you make the most of your HSA benefits and avoid any potential penalties.


Many people ask if it's possible to use their HSA funds to pay off medical bills from previous years. The answer isn't straightforward because HSAs come with specific regulations regarding eligible expenses and their timing.

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