Can Your Health Bill Precede Your HSA Contribution?

As a health savings account (HSA) holder, you may wonder about the order in which your health bills and contributions to your HSA account should occur. Let's delve into this common question and shed some light on the process.

Firstly, it's important to understand that an HSA is a tax-advantaged savings account specifically designated for medical expenses. Here's how the timing typically works:

  • When you incur a qualified medical expense, you can use funds from your HSA to pay for it directly.
  • Alternatively, you can choose to pay for the expense out of pocket and save your receipts.
  • At any time in the future, you can reimburse yourself from your HSA for the eligible expenses you paid for out of pocket.

When it comes to contributing to your HSA, the order of events differs:

  • You can contribute to your HSA at any time, regardless of when you incurred medical expenses.
  • Contributions to your HSA can be made by you personally, through your employer, or both.
  • The contributions you make during the year can be deducted on your tax return, providing you meet the eligibility criteria.

Therefore, your healthcare bills do not need to precede your HSA contributions. You can contribute to your HSA before or after incurring medical expenses, as long as the expenses are considered eligible under IRS guidelines.

It's crucial to keep accurate records of your medical expenses and HSA contributions for tax purposes. Consult with a financial advisor or tax professional for personalized guidance based on your specific situation.


As a health savings account (HSA) holder, you might find yourself questioning whether your health bills need to come before your HSA contributions. Let’s sort out this vital piece of financial knowledge!

Firstly, remember that an HSA serves as a tax-advantaged shelter for your medical expenses. The relationship between your health bills and HSA contributions is not as strict as you might think. Here’s how things usually pan out:

  • Upon incurring a qualified medical expense, you have the option to pay directly from your HSA.
  • Alternatively, you can cover the expense out of your own pocket while keeping the receipts for future reimbursement.
  • Whenever you're ready, you can reimburse yourself from your HSA for those expenses you've already paid for out of pocket.

As for HSA contributions, the timing does not have to align with when you incur medical expenses:

  • You are free to contribute to your HSA at any moment, no matter when you faced those medical costs.
  • It’s also worth noting that contributions can flow in through your personal efforts, your employer, or both, making it quite flexible.
  • On your tax return, you can deduct the contributions made during the year, provided you meet the eligibility requirements.

In summary, there’s no strict requirement for your healthcare bills to come before your HSA contributions. You can make contributions pre- or post-medical expenses, assuming those expenses meet IRS eligibility criteria.

Be diligent about keeping track of both your medical expenses and HSA contributions to ensure smooth sailing during tax season. As always, consulting a financial advisor or tax professional can put you on the right path based on your unique situation.

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