Can You Use an FSA or HSA to Pay a Bill Collector for Medical Expenses?

If you find yourself in a situation where you owe medical expenses to a bill collector, you may be wondering if you can use your FSA (Flexible Spending Account) or HSA (Health Savings Account) to pay off these debts. The good news is that in certain circumstances, you may be able to utilize these accounts to settle your medical bills with a bill collector.

Before proceeding, it's important to understand the rules and guidelines surrounding using an FSA or HSA to pay a bill collector for medical expenses:

  • Both FSAs and HSAs can typically be used to pay for qualified medical expenses incurred by you, your spouse, and any dependents claimed on your tax return.
  • Check with your FSA or HSA provider to confirm that paying a bill collector is an eligible expense according to their guidelines.
  • Ensure that the medical expenses you owe the bill collector are considered qualified expenses by the IRS.
  • If the debt to the bill collector is related to a medical procedure or treatment that is IRS-approved, you may be able to use your FSA or HSA to cover these costs.
  • Keep detailed records and documentation of the medical expenses and payments made to the bill collector for your own records and for tax purposes.
  • Consult with a tax professional or financial advisor if you are unsure about the implications of using your FSA or HSA to pay a bill collector.

Ultimately, while using an FSA or HSA to pay a bill collector for medical expenses is possible in some situations, it's essential to follow the rules and guidelines set forth by the IRS and your account provider to ensure compliance and eligibility.


If you find yourself struggling with medical debts, it's only natural to look for ways to alleviate the financial burden. Utilizing your FSA or HSA could be a viable option for settling these debts with a bill collector.

Both accounts are designed to help cover qualified medical expenses, but there are a few things you should keep in mind before making any payments:

  • Confirm that the medical services were indeed incurred by you, your spouse, or any tax dependents.
  • Reach out to your FSA or HSA account provider to clarify if paying a bill collector falls under eligible expenses.
  • It's crucial to determine whether the medical debts in question meet the IRS’s definition of qualified expenses.
  • If the bills correspond to services or treatments that qualify under IRS guidelines, you might be in the clear to use your FSA or HSA funds.
  • Maintain comprehensive records for all medical expenses and payments made, as this documentation is important for tax purposes.
  • If there's any uncertainty, it’s wise to consult with a tax professional or financial advisor to ensure you’re making the right choice.

In essence, while it's possible to use your FSA or HSA for paying medical bill collectors, understanding the guidelines from the IRS and your provider will safeguard you against any pitfalls.

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