Can I Use My HSA Card to Pay a Bill That Has Gone to Collections?

If you're dealing with a bill that has gone to collections and have an HSA card, you might be wondering if you can use it to pay off the debt. Let's explore this topic further to understand the possibilities.

Firstly, it's essential to note that HSA funds are intended for qualified medical expenses and should be used for medical purposes. While there are specific guidelines on what qualifies as a medical expense, paying off a bill that has gone to collections may not meet this criteria directly.

However, there are a few considerations to keep in mind:

  • Medical Collections: If the bill that has gone to collections is for a medical expense that qualifies under the IRS guidelines, you may be able to use your HSA card to pay it off.
  • Verification: It's crucial to verify with the collection agency or healthcare provider if the debt is indeed related to a medical expense.
  • Penalties: Using HSA funds for non-qualified expenses can result in penalties and taxes. It's essential to understand the implications before proceeding.

In conclusion, while using your HSA card to pay a bill that has gone to collections may be possible in certain circumstances, it's advisable to consult with a tax professional or financial advisor to ensure compliance with IRS regulations.


When it comes to paying bills that have gone to collections using your HSA card, it's crucial to understand the intended purpose of HSA funds. Primarily designated for medical expenses, these funds should only be used for qualified expenses as per IRS guidelines. If your collections bill is related to medical services, you might have grounds to use your HSA card. However, always check the nature of the debt incurred.

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