Can You Pay Up Front and Reimburse Yourself from an HSA?

If you have a Health Savings Account (HSA), you may be wondering if you can pay up front for medical expenses and then reimburse yourself. The short answer is yes, you can reimburse yourself for qualified medical expenses that you paid for out of pocket. Here's how it works:

When you have an HSA, you can use the funds in the account to pay for a wide range of medical expenses, from doctor's visits to prescription medications to certain medical devices. If you pay for a qualified medical expense out of pocket, you can then reimburse yourself from your HSA.

Here are the steps to pay up front and reimburse yourself from an HSA:

  • Keep all receipts: Make sure to save receipts for any medical expenses you pay for out of pocket.
  • Use your HSA funds: Pay for the qualified medical expense with funds from your HSA.
  • Reimburse yourself: Whenever you are ready, you can reimburse yourself from your HSA by withdrawing the funds needed.

It's important to note that you need to keep accurate records and documentation of the expenses you are reimbursing yourself for, as the IRS may request this information during an audit.

Overall, using an HSA to pay for medical expenses and then reimbursing yourself is a convenient and flexible way to manage healthcare costs. Just make sure you follow the guidelines and keep thorough records to ensure everything is properly documented.


Yes, you can definitely pay for medical expenses out of your own pocket and later reimburse yourself using your Health Savings Account (HSA). This flexibility is one of the key benefits of having an HSA.

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