Can I Use my HSA Card to Pay Medical Debt in Collections?

Medical debt can be overwhelming and worrying, especially when it ends up in collections. If you have a Health Savings Account (HSA), you may wonder if you can use your HSA card to pay off this type of debt. The answer is not straightforward and depends on various factors.

When it comes to using your HSA card for medical debt in collections, it's essential to understand the guidelines set by the Internal Revenue Service (IRS). They dictate what expenses are considered eligible for HSA funds. Here are some key points to consider:

  • IRS rules state that medical expenses paid with HSA funds must be for qualified medical services as defined in Section 213(d) of the Internal Revenue Code.
  • Debts, including medical debts that have gone to collections, may not always qualify as eligible expenses under the IRS guidelines.
  • If the medical debt is for services that were not considered qualified medical expenses at the time they were incurred, you may not be able to use your HSA funds to pay off that debt.
  • However, if the medical debt is for services that were initially eligible medical expenses but later went to collections, you may have a better chance of using your HSA funds to settle the debt.

It's important to keep detailed records and documentation of the medical debt and the services it covers. Consulting with a tax professional or financial advisor can also provide clarity on whether you can use your HSA card to pay off medical debt in collections.


Wondering if you can use your HSA card to tackle medical debt in collections can lead to more questions than answers. While it's understandable to want to settle these debts using tax-advantaged funds, it's crucial to grasp the nuances of IRS regulations regarding Health Savings Accounts.

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