Can You Use a HSA to Pay for Bills Incurred Prior to Starting HSA?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, but there are rules and limitations on what you can use them for. One common question that arises is whether you can use a HSA to pay for bills that were incurred before you started the account. The short answer is no, you cannot use a HSA to pay for expenses that occurred before opening the account.

HSAs are designed to help individuals save and pay for current and future medical expenses. Here are some key points to keep in mind:

  • HSAs can only be used to pay for qualifying medical expenses incurred after the HSA was established.
  • Expenses incurred before opening the HSA are not eligible for reimbursement.
  • However, you can save your medical receipts and use the funds in your HSA to reimburse yourself for those expenses in the future.
  • If you use HSA funds for non-qualified expenses or expenses incurred before the account was opened, you may be subject to penalties and taxes.
  • It's important to keep thorough records of your medical expenses and HSA transactions to ensure compliance with IRS regulations.

In summary, while you cannot use a HSA to pay for bills that were incurred prior to starting the account, you can use the funds for eligible expenses that arise after the account is established. Proper record-keeping and adherence to IRS guidelines are essential when using an HSA to pay for medical costs.


While Health Savings Accounts (HSAs) provide an excellent way to save for unexpected healthcare costs, it's important to understand the rules that govern their use. If you're wondering whether you can use your HSA to pay for medical bills that were incurred before the account was opened, the answer is a firm no. This means that any expenses you had prior to establishing your HSA won't qualify for 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