Do You Have to Spend All of an HSA? - Understanding HSA Spending Rules

Health Savings Accounts (HSAs) are a valuable tool for individuals to save money for medical expenses while enjoying tax benefits. One common question that arises regarding HSAs is whether you have to spend all of the funds in your HSA each year. The good news is that unlike some other types of accounts, HSAs do not have a 'use-it-or-lose-it' rule that requires you to spend all the money in your HSA within a specific timeframe.

HSAs are unique in that the funds roll over from year to year, allowing you to accumulate savings for future medical expenses. While there is no requirement to spend all of the money in your HSA within a certain period, there are guidelines and rules to keep in mind when using your HSA funds:

  • You can use your HSA funds to pay for qualified medical expenses, including deductibles, copayments, and other healthcare costs.
  • It's important to keep track of your expenses and save receipts for all purchases made with your HSA funds to ensure they are used for eligible expenses.
  • If you use your HSA funds for non-qualified expenses, you may be subject to taxes and penalties.

While there is no requirement to spend all of the funds in your HSA, it's essential to use the money for qualified medical expenses to maximize the benefits of your HSA.


Health Savings Accounts (HSAs) not only allow you to set aside funds for medical expenses but also encourage you to save for future healthcare needs. Unlike flexible spending accounts, HSAs let your balance roll over year after year, giving you the flexibility to manage your healthcare costs over time.

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