Can I Use My HSA for Medical Expenses Made 2 Months Before Start Date?

Are you wondering if you can use your Health Savings Account (HSA) for medical expenses incurred two months before the start date? Let's delve into this common query about HSAs and find out what the rules say.

HSAs are a valuable tool for managing healthcare costs, but there are guidelines on when you can use the funds. Here's what you need to know:

  • Medical Expenses Eligible for HSA Withdrawals: Qualified medical expenses that are incurred after you establish your HSA are eligible for tax-free withdrawals. This includes a wide range of healthcare services, treatments, and supplies.
  • Timeframe for Using HSA Funds: Typically, you can use your HSA funds to pay for eligible medical expenses that occur after your HSA is established. This means that expenses made before opening your HSA may not be covered.
  • Exceptions to the Rule: In some cases, the IRS allows you to use HSA funds for medical expenses incurred up to 60 days before you open your account. This can be beneficial if you need to pay for healthcare costs shortly before setting up your HSA.

While the general rule is that HSA funds can only be used for expenses after the account is established, the 60-day rule provides some flexibility for retroactive coverage. It's essential to keep accurate records and receipts to ensure compliance with IRS guidelines.


Have you ever asked yourself if it's possible to tap into your Health Savings Account (HSA) for medical expenses that occurred two months prior to your account's start date? Understanding the rules surrounding HSAs can significantly impact your healthcare budgeting.

HSAs are designed to help us manage our healthcare costs effectively, but they do come with specific guidelines. Let's break it down:

  • Eligibility for HSA Withdrawals: To make tax-free withdrawals from your HSA, the medical expenses you incur must qualify and occur after the establishment of your HSA. This encompasses a variety of healthcare services, treatments, and necessary supplies.
  • Timing Matters: Generally, you are restricted to using your HSA funds for qualified medical expenses that arise after your account has been officially set up. This implies that costs incurred before the opening of your HSA wouldn't usually be eligible for reimbursement.
  • Important Exceptions: However, there's an exception worth noting! The IRS permits HSA funds to cover medical expenses that happened up to 60 days before you opened your account. This can be a lifesaver if you've had to handle healthcare expenses just before your HSA became active.

Nonetheless, while the foundational rule indicates that HSA funds are reserved strictly for post-account establishment expenses, the 60-day retroactive rule offers some much-needed flexibility. Remember to maintain thorough records and receipts to ensure you stay in line with IRS requirements.

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