Can You Pay Prior Medical Bills with HSA?

Many individuals often wonder if they can use their Health Savings Account (HSA) to pay for prior medical bills. The answer to this question is not as straightforward as one might hope, but it is essential to understand the rules surrounding using HSA funds for previous medical expenses.

When it comes to paying prior medical bills with your HSA, there are a few factors to consider:

  • Eligible Expenses: Only qualified medical expenses that meet IRS guidelines can be paid for using HSA funds.
  • Timeline: You can only use your HSA to pay for medical expenses that occurred after you opened your HSA account.
  • Reimbursement: If you paid for a qualified medical expense out of pocket before opening an HSA, you may be able to reimburse yourself with HSA funds as long as the expense was incurred after the HSA was established.

It's essential to keep documentation of all medical expenses and payments made out of pocket, as well as any reimbursements from your HSA to ensure compliance with IRS regulations.


Have you ever found yourself asking, 'Can I use my Health Savings Account (HSA) to cover my old medical expenses?' While navigating through this can feel overwhelming, it’s crucial to grasp the guidelines that allow for such payments.

To pay for prior medical bills using your HSA, consider the following:

  • Eligible Expenses: Ensure the medical expenses fall under the IRS's definition of qualified medical expenses.
  • Timeline: Remember that only medical costs incurred after opening your HSA can be settled using your HSA funds.
  • Reimbursement: If you’ve paid for a qualifying medical expense out of pocket prior to opening your HSA, you can reimburse yourself from your HSA for expenses incurred after establishment.

Always keep thorough records of your medical expenses and any out-of-pocket payments to maintain compliance with IRS standards and ensure smooth reimbursement.

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