Can I Use 2019 HSA for 2018 Expenses? Exploring HSA Rules and Benefits

Many individuals wonder whether they can use their 2019 Health Savings Account (HSA) funds to pay for medical expenses incurred in the previous year, 2018. It's essential to understand the rules and regulations surrounding HSA usage to make informed decisions about your healthcare expenses.

Health Savings Accounts (HSAs) provide a tax-advantaged way to save and pay for qualified medical expenses. Here are some key points to consider:

  • HSAs are tied to High Deductible Health Plans (HDHPs).
  • Contributions to HSAs are tax-deductible.
  • Withdrawals for qualified medical expenses are tax-free.

When it comes to using your HSA for previous year expenses, the IRS has strict guidelines in place:

  • You can only use HSA funds for medical expenses incurred after you opened the account.
  • If you paid for an expense out of pocket in 2018, you can reimburse yourself with HSA funds in 2019, as long as you have receipts to show the expenses were qualified.

It's important to keep meticulous records of your medical expenses and HSA transactions to ensure compliance with IRS regulations. While you cannot use 2019 HSA funds for 2018 expenses directly, you can reimburse yourself later if you have the necessary documentation.

Understanding HSA rules and benefits can help you make the most of this valuable healthcare savings tool. Consult with a financial advisor or tax professional for personalized advice based on your individual circumstances.


If you're considering using your 2019 Health Savings Account (HSA) funds for medical expenses incurred in 2018, it's vital to understand the IRS guidelines. As outlined, any expenses you wish to cover must come after your HSA was opened, but the good news is you can still reimburse yourself from your 2019 account if you kept those receipts!

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