Can You Use an HRA to Pay Bills You Paid with a HSA?

It can be confusing to navigate the world of healthcare savings accounts, such as HSA (Health Savings Account) and HRA (Health Reimbursement Arrangement), and understand how they can be used together. One common question that arises is whether you can use an HRA to pay bills that you have already paid with an HSA.

Let's break it down:

An HSA is a tax-advantaged account that allows individuals to save money for qualified medical expenses. Contributions to an HSA are tax-deductible, and funds can be used to pay for a wide range of medical expenses, including deductibles, copayments, prescriptions, and other qualified healthcare costs.

On the other hand, an HRA is an employer-funded account that reimburses employees for qualified medical expenses. Unlike an HSA, the funds in an HRA are owned by the employer, and any unused funds typically do not roll over from year to year.

So, can you use an HRA to pay bills that you have already paid with an HSA? The short answer is yes, but there are some important considerations to keep in mind:

  • HRAs typically have specific rules about what expenses are reimbursable, so it's essential to review your HRA plan documents to understand what costs are eligible for reimbursement.
  • If you have already used your HSA funds to pay for a medical expense, you can request reimbursement from your HRA for the same expense, as long as it is an eligible expense according to your HRA plan.
  • Keep in mind that you cannot double-dip and receive reimbursement for the same expense from both your HSA and HRA.

In conclusion, while you can use an HRA to pay bills that you have already paid with an HSA, it's crucial to review the specific rules of your HRA plan and ensure that you are not double-dipping on reimbursements for the same expense.


Understanding how HSA and HRA work together can simplify your medical expense management. An HSA allows you to save pre-tax dollars for qualifying medical expenses, while an HRA, funded by your employer, can further assist you in reimbursing those costs. This relationship often leads to questions about overlapping payments.

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