Can You Use HSA for Previous Year Expenses? Learn About HSA Rules

One common question that arises when it comes to Health Savings Accounts (HSAs) is whether you can use them for previous year expenses. The answer to this question depends on a few factors, and it's essential to understand the rules surrounding HSA expenditures.

HSAs are a valuable tool for managing healthcare costs, allowing individuals to save pre-tax money for medical expenses. However, the IRS has specific guidelines regarding the use of HSA funds, including rules about using the funds for expenses from previous years.

Generally, you cannot use your HSA to pay for medical expenses that were incurred before you opened the account. However, there are a few exceptions to this rule:

  • If you incurred the expenses after you opened the HSA but before you funded it, you can reimburse yourself from the HSA once you have sufficient funds in the account.
  • If you were eligible to contribute to an HSA in the year the expenses were incurred but didn't open an account until a later year, you can use your HSA to pay for those expenses.

It's important to keep accurate records of your medical expenses and HSA contributions to ensure compliance with IRS regulations. If you're unsure about whether you can use your HSA for a specific expense, it's wise to consult a tax professional or financial advisor.


When it comes to using your Health Savings Account (HSA) for medical expenses from previous years, understanding the IRS rules is crucial. Generally, payments for expenses incurred before your HSA was established are not permissible. However, there are exceptions to keep in mind, such as if the expenses were incurred after opening the account but prior to funding it.

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