Can I Pay Bills for Medical Costs in 2018 from My HSA that Started in 2019 Per the IRS?

Health Savings Accounts (HSAs) are a great way to save for future medical expenses while benefiting from tax advantages. However, understanding the rules and regulations surrounding HSAs is crucial to avoid any penalties or confusion.

One common question that arises is whether you can pay bills for medical costs incurred in the previous year using an HSA that was opened in the current year. According to the IRS rules, this is allowed under certain conditions.

Here's what you need to know:

  • If you opened your HSA in 2019, you can only use funds deposited in the account after it was established to pay for medical expenses incurred in 2019 or later.
  • However, there is a special rule that allows you to use HSA funds for qualified medical expenses incurred after the HSA was established, even if they were from the previous year (2018 in this case).
  • To take advantage of this provision, you need to keep detailed records and receipts to prove that the expenses were incurred after the HSA was opened.
  • It's important to note that the IRS may require you to provide documentation to support your claims, so keeping accurate records is essential.

While it's generally allowed to use HSA funds for qualified medical expenses, it's advisable to consult with a tax professional or financial advisor to ensure compliance with the IRS regulations and to make the most out of your HSA.


Health Savings Accounts (HSAs) provide a fantastic way to save for medical expenses with the added benefit of tax advantages. It's crucial for account holders to fully understand the IRS regulations to prevent any misunderstandings or penalties.

One prevalent inquiry is whether an HSA opened in 2019 can be used to cover medical expenses from 2018. The IRS does allow this under specific circumstances, making it necessary for you to know the rules.

Here's what you need to consider:

  • Any funds used from your HSA must have been deposited after the account was established in 2019 for expenses incurred in 2019 and beyond.
  • There’s a unique provision that enables you to use HSA funds for eligible medical expenses that occurred after your account was established, even if they originated in the previous year, like 2018.
  • Keep meticulous records and receipts that clearly show that the medical costs were incurred after your HSA's inception to take full advantage of this rule.
  • Documentation is key as the IRS may request proof for your claims, cementing the importance of maintaining clear records.

While it is typically permissible to utilize HSA funds for qualified medical expenses, seeking advice from a tax professional or financial advisor is always recommended to navigate the IRS regulations effectively.

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