Can I Pay for Medical Expenses Incurred Before My HSA Was Established?

Many people wonder if they can pay for medical expenses that were incurred before their HSA (Health Savings Account) was established. The answer to this question is both yes and no, depending on the timing of when the HSA was set up.

If you incurred medical expenses before opening your HSA, you generally cannot use your HSA funds to cover those expenses. However, there are some exceptions that allow you to use HSA funds for past medical costs:

  • If your HSA was established within 60 days of your high-deductible health plan's coverage starting, you can use HSA funds to pay for medical expenses incurred during that time.
  • You can pay for past medical expenses that occurred after you opened your HSA, as long as it was in the same tax year.

It's essential to keep detailed records of your medical expenses and HSA contributions to ensure you are using your funds appropriately and within the guidelines set by the IRS.


Have you ever asked yourself, 'Can I pay for medical expenses that happened before my HSA was set up?' The short answer is tricky, but let's break it down.

Generally, expenses accrued before opening your HSA can't be covered by HSA funds. But there is a silver lining! If you establish your HSA within 60 days of your high-deductible health plan's start date, you can indeed use your HSA money for any medical expenses during that window.

Additionally, any medical costs incurred during the same tax year after opening your HSA can be covered. Just be sure to keep organized records of all your expenses and contributions to stay compliant with IRS regulations.

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