Can I Use My New HSA to Pay Old Medical Bills?

If you have recently opened a Health Savings Account (HSA) and are wondering whether you can use it to pay old medical bills, the answer is not straightforward. Let's delve into the details to understand how an HSA works in relation to previous medical expenses.

An HSA is a tax-advantaged savings account that allows you to set aside money for qualified medical expenses. Here are some key points to consider:

  • HSAs are designed to be used for current and future medical expenses.
  • You can only use funds in your HSA to pay for medical expenses that occurred after you opened the account.
  • Using your HSA to pay for past medical bills may not be allowed, as these expenses should have been incurred after you established the HSA.
  • However, if you incurred the medical expenses after opening the HSA, you can use the funds to reimburse yourself at a later date.

It's essential to keep detailed records of your medical expenses and HSA transactions to ensure compliance with IRS regulations. If you have any doubts about using your HSA for specific expenses, it's recommended to consult with a tax advisor or financial expert.


If you're asking yourself, 'Can my new HSA help with my old medical bills?' the answer is both yes and no. While HSAs are excellent for managing current healthcare costs, they specifically cater to expenses incurred after the account was established.

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