Can You Reimburse Yourself from HSA Before Expenses?

If you have a Health Savings Account (HSA), you might have wondered whether you can reimburse yourself from the account before incurring expenses. Let's explore this question and understand how HSAs work.

Health Savings Accounts are designed to help individuals save for medical expenses on a tax-advantaged basis. Here's what you need to know:

  • Contributions to an HSA are tax-deductible or pre-tax if made through payroll deductions.
  • The money in an HSA can be used to pay for qualified medical expenses, such as doctor visits, prescriptions, and even some over-the-counter items.
  • Usually, you can only withdraw funds from an HSA to reimburse yourself for eligible medical expenses that you have already incurred.

But can you reimburse yourself from an HSA before actually spending the money on medical expenses?

The answer is:

  • Yes, you can reimburse yourself from an HSA for qualified medical expenses that you paid out of pocket in the past, even if you didn't use the HSA funds at the time of the expense.
  • It's important to keep good records and receipts to document your expenses and the reimbursement from your HSA.

Remember, the purpose of an HSA is to help you save for medical costs, so using the funds for non-qualified expenses may result in penalties and taxes.


If you have a Health Savings Account (HSA), you may be curious about the possibility of reimbursing yourself before incurring any medical expenses. Let's dive into how HSAs function and shed light on this matter.

Health Savings Accounts are a fantastic way to save for medical costs while enjoying various tax advantages. Here’s some essential information on HSAs:

  • Your contributions can either be deducted from your taxable income or made pre-tax through payroll deductions, providing immediate tax relief.
  • HSA funds can cover a broad range of qualified medical expenses, including doctor visits, prescriptions, and even certain over-the-counter medications.
  • Typically, withdrawals from an HSA are meant to reimburse you for eligible costs that you have already paid out of pocket.

So, can you actually reimburse yourself from an HSA before you’ve spent any money?

The short answer is:

  • Yes! You have the flexibility to reimburse yourself using HSA funds for qualified medical expenses that you paid previously, even if you didn’t tap into your HSA at the time.
  • However, it’s crucial to maintain detailed records of your expenses and receipts to justify both the costs and the corresponding reimbursements from your HSA.

Keep in mind, using HSA funds for non-qualified expenses may lead to significant penalties and taxes, as the account is specifically designed to aid in managing medical expenses.

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