Can You Use HSA Money for Previous Year Expenses? - Understanding HSA Rules and Regulations

One common question that arises when it comes to Health Savings Accounts (HSAs) is whether you can use HSA money for previous year expenses. To address this, it's important to understand the rules and regulations surrounding HSAs.

HSAs are designed to help individuals save for current and future healthcare expenses. While you can use HSA funds for qualified medical expenses, the timing of these expenses is important to consider.

Here are some key points to keep in mind regarding using HSA money for previous year expenses:

  • HSA funds can only be used for qualified medical expenses incurred after the HSA was established.
  • You cannot use HSA funds for expenses incurred before you opened the account.
  • However, if you incurred qualified medical expenses in a previous year but did not have an HSA at that time, you can still reimburse yourself from your HSA as long as the expenses were incurred after the HSA was established.
  • It's important to keep detailed records and receipts of your medical expenses to ensure compliance with IRS regulations.

Overall, while you cannot use HSA funds for expenses that occurred before you opened the account, you can reimburse yourself for qualified medical expenses incurred after the HSA was established, even if they are from previous years.


When it comes to using HSA funds, one question that often surfaces is whether you can use HSA money for qualified medical expenses from previous years. To clear up any confusion, it's crucial to grasp the HSA rules and regulations.

Remember, an HSA is a smart way to save for both current and future healthcare costs. Using HSA money has specific timing requirements when relating to medical expenses.

  • Firstly, ensure that your HSA funds can only be applied to qualified medical expenses that were incurred after your HSA was set up.
  • Secondly, anything you spent on medical costs before opening your HSA isn’t eligible for reimbursement with those funds.
  • Now, if you had qualified medical expenses that were incurred in a prior year but weren’t covered by an HSA at that point, you can still use your HSA to reimburse yourself as long as those expenses were recorded after you opened your HSA.
  • Importantly, keeping organized records and receipts of your medical expenses is vital for adhering to IRS guidelines.

In conclusion, while your HSA funds cannot be used for expenses prior to your account's inception, you can reimburse for future medical costs that were incurred after opening your account, even if these expenses date back to previous years.

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