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Can I Use an HSA to Cover Expenses from a Previous Year?

Published August 22, 2022

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Short answer: Generally, you cannot use HSA funds to cover expenses from a previous year, but exceptions apply if the expense was incurred after you opened the HSA or after you opened it without having an HSA then.

Using HSA for prior-year medical expenses

One common question that individuals with Health Savings Accounts (HSAs) may have is whether they can use their HSA funds to cover expenses from a previous year.

Generally, the answer is no, you cannot use your HSA to cover expenses from a previous year. HSAs are designed to help individuals save for current and future qualified medical expenses. However, there are some exceptions to this rule:

Many individuals wonder if their Health Savings Account (HSA) can be used to pay off medical expenses from previous years, but the key detail to remember is that generally, it cannot. HSAs are primarily meant for current and upcoming qualified medical costs. However, there are instances where exceptions apply.

Exceptions: timing of incurred expenses

  • If the expense was incurred after you opened your HSA account, but before you funded it, you can reimburse yourself using your HSA funds.
  • If you incurred a medical expense in a previous year but did not have an HSA at that time, you can still use your HSA funds to reimburse yourself as long as the expense was incurred after you opened the HSA account.

Recordkeeping and non-expiring HSA funds

It is important to keep accurate records and receipts of all medical expenses that you plan to reimburse yourself for using your HSA funds. This will help you avoid any potential issues or audits in the future.

While you cannot use your HSA to cover expenses from a previous year, the funds in your HSA never expire, so you can continue to use them for qualified medical expenses in the future.

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