HSA Shop logoHSA Shop

HSA Guide

Can I Use 2019 HSA Account to Pay for 2018 Medical Expenses?

Published July 26, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: Yes—if you incurred 2018 medical expenses but opened your HSA in 2019, you might be able to reimburse those 2018 expenses with your 2019 HSA funds.

IRS rules for HSA qualified expenses

Many people wonder if they can use their 2019 HSA (Health Savings Account) funds to pay for medical expenses incurred in 2018. The answer to this question is not straightforward, but we will break it down for you.

Firstly, HSA funds can only be used for qualified medical expenses as outlined by the IRS. Here are some key points to consider:

When 2019 HSA can reimburse 2018 costs

  • Generally, HSA funds can only be used for expenses incurred after the HSA was established.
  • However, if you incurred medical expenses in 2018 but did not open an HSA until 2019, you might still be able to use your 2019 HSA funds to reimburse those 2018 expenses.
  • To do this, you need to keep thorough records and receipts of the 2018 medical expenses.

Overall, using 2019 HSA funds for 2018 medical expenses can be a bit tricky, but it is possible in certain circumstances. It is always recommended to consult with a tax professional or financial advisor to guide you through the process.

It’s a common question: can I use my 2019 HSA funds to cover medical bills from 2018? While the IRS has specific guidelines, let's simplify this for you.

Generally, HSA funds are strictly for qualified medical expenses incurred after the account was opened. However, there’s a silver lining!

Recordkeeping and professional guidance

If you had medical expenses in 2018 and opened your HSA in 2019, you may still be able to reimburse yourself with your HSA funds for those earlier expenses.

Keeping detailed records and receipts is essential when navigating this process, and consulting with a financial advisor is always a smart move.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles