Can I Pay Existing Hospital Bill with HSA?

Many people wonder whether they can use their HSA (Health Savings Account) to pay for existing hospital bills. The short answer is 'Yes', but there are specific conditions that you need to be aware of.

When it comes to using your HSA funds to pay for a previous hospital bill, it is crucial to understand the rules and guidelines set by the IRS. Here are some key points to consider:

  • Ensure that the medical expenses were incurred after you opened your HSA account.
  • You cannot use your HSA funds to pay for medical expenses that were incurred before you opened the account.
  • Make sure the hospital bill is considered a qualified medical expense by the IRS.
  • Check if the hospital bill meets the criteria for HSA reimbursement, such as being for the diagnosis, cure, mitigation, treatment, or prevention of a disease, or for treatments affecting a specific body part.
  • Keep all relevant documentation and receipts for your records in case of an audit.

By following these guidelines, you can use your HSA funds to pay for existing hospital bills that meet the IRS criteria for qualified medical expenses. It is essential to stay informed and make informed decisions about your healthcare expenses.


Yes, you can use your HSA to pay for existing hospital bills, provided you follow the IRS guidelines. It's important to remember that the expenses must have been incurred after you opened the HSA account.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter