Can I Pay Medical Bills in Collections with Established HSA Account?

When facing medical bills in collections, it can be a stressful situation. However, having an established Health Savings Account (HSA) can offer a potential solution to help manage these expenses.

An HSA is a valuable financial tool that allows individuals to save pre-tax dollars specifically for medical expenses. While you can use your HSA funds to pay for various medical costs, there are certain rules and considerations to keep in mind when it comes to paying medical bills that are in collections.

Here are some important points to consider:

  • Generally, you can use your HSA funds to pay for qualified medical expenses, even if the bills are in collections.
  • Make sure that the medical bills in collections qualify as eligible medical expenses according to IRS guidelines.
  • Ensure that the medical services for which the bills were issued were incurred after you opened your HSA account.
  • Keep thorough documentation of the medical bills and payments made from your HSA to ensure compliance with tax regulations.

It is essential to understand that while your HSA can be a useful resource for managing medical bills, not all expenses may be eligible for payment from your HSA. Therefore, it's recommended to consult with a financial advisor or tax professional if you have any questions or need guidance on using your HSA funds.


When dealing with medical bills in collections, it can feel overwhelming. Fortunately, if you have a Health Savings Account (HSA), you may find some relief. An HSA is allowed to be used for various medical expenses, and this includes bills that are unfortunately in collections.

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