Can I Use HSA on a Bill from Last Year?

As a valuable tool for managing healthcare costs, Health Savings Accounts (HSAs) offer flexibility and tax benefits to account holders. However, when it comes to using an HSA for expenses incurred in previous years, some specific rules and limitations apply.

Firstly, it's important to understand that HSAs are designed to cover qualified medical expenses that occur during the period when the account is active. Typically, this means expenses incurred after the HSA was opened and funded. Using HSA funds for bills from a previous year can be tricky, but there are some considerations to keep in mind.

Here are key points to consider when using an HSA on a bill from last year:

  • HSAs can only be used for qualified medical expenses as defined by the IRS.
  • Expenses must have been incurred after the HSA was established.
  • Some exceptions may apply for expenses incurred before the HSA was opened, such as prescription drugs.
  • It's advisable to keep thorough records and documentation of all expenses and payments.

While using an HSA for a bill from the previous year may not always be straightforward, certain circumstances or exceptions could allow for it. Consulting with a tax advisor or HSA administrator can provide more personalized guidance based on individual situations.


Yes, you can use your HSA funds for bills incurred last year, but it depends on when you opened your account and the nature of the expenses.

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