Can I Use HSA to Pay for Work Done Before It Existed?

Many people wonder whether they can use their Health Savings Account (HSA) to pay for medical expenses incurred before they had opened the account. Let's explore this question and understand how HSAs work.

HSAs are tax-advantaged accounts that individuals can use to save for qualified medical expenses. These accounts are tied to high-deductible health plans (HDHPs) and offer triple tax benefits – contributions are tax deductible, earnings grow tax-free, and withdrawals for qualified medical expenses are also tax-free.

Here are some key points to consider regarding using an HSA to pay for work done before the account was opened:

  • HSAs are designed to cover current and future medical expenses, not retroactive expenses.
  • You cannot use HSA funds to pay for medical expenses that were incurred before you established the account.
  • However, you can keep receipts for qualified medical expenses and reimburse yourself from your HSA in the future, as long as the expenses were incurred after the HSA was established.

In summary, while you cannot use your HSA to pay for medical expenses that predate the account, you can still benefit from the triple tax advantages of an HSA for current and future healthcare costs.


Many individuals have questions about whether their Health Savings Account (HSA) can be used to settle medical bills from before the account was created. Let's delve into this topic and see what we can uncover together.

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