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Can You Incur Medical Expenses Before You Establish an HSA and Still Get Reimbursed?

Published December 11, 2022

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Short answer: You can’t reimburse HSA-funded expenses for costs incurred before setting up an HSA, but after establishing an HSA you can reimburse qualified pre-opening expenses if you established the HSA before seeking reimbursement.

Reimbursing pre-HSA medical expenses rules

When it comes to Health Savings Accounts (HSAs), one common question that many people have is whether they can incur medical expenses before establishing an HSA and still get reimbursed. The answer to this question is both yes and no, depending on certain factors.

Here's a breakdown of how it works:

  • If you incur medical expenses before you set up an HSA, you cannot use HSA funds to reimburse yourself for those expenses.
  • However, once you establish an HSA, you can still reimburse yourself for qualified medical expenses that you incurred before opening the account.
  • It's important to note that you must establish the HSA before seeking reimbursement for those expenses.

HSAs benefits and recordkeeping

Health Savings Accounts are a valuable tool for managing healthcare costs, offering tax advantages and flexibility for eligible individuals.

Remember, to ensure proper reimbursement and to stay compliant with IRS guidelines, it's essential to keep records of all medical expenses, including those incurred before opening your HSA.

Bottom line: can you get reimbursed?

Yes, it's possible to incur medical expenses before setting up an HSA and still get reimbursed, but with some key rules to remember.

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