Can I Use a HSA Account to Pay Medical Bills in Collection?

Health Savings Accounts (HSAs) are a great tool for saving money tax-free to cover medical expenses. But what happens if you have outstanding medical bills in collections?

HSAs can be used to pay for qualified medical expenses, including bills that have gone to collections. Here are some important points to consider when using your HSA to pay off medical debts:

  • HSAs can be used to pay off medical bills in collections as long as the expenses are considered qualified medical expenses by the IRS.
  • Make sure to keep documentation of the medical bills and payments made from your HSA to prove that the expenses were for eligible medical expenses.
  • If you use your HSA funds to pay off medical bills in collections, you will not be able to deduct those expenses on your taxes since they have already been paid with pre-tax dollars.
  • It's important to check with your HSA provider to understand any specific requirements or restrictions they may have regarding using HSA funds for bills in collections.
  • Using your HSA to pay off medical bills in collections can provide financial relief and help you avoid further consequences of unpaid medical debts.

So, yes, you can use a HSA account to pay medical bills in collection, as long as the expenses meet the IRS criteria for qualified medical expenses.


If you're navigating the tough waters of medical bills in collection, knowing how to utilize your Health Savings Account (HSA) can be a lifesaver. HSAs allow you to save money tax-free to cover eligible medical expenses, and yes, that includes bills that are 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