Does an HSA Cover Previous Year Health Bills? Explained | HSA Awareness

One common question that individuals often have about their Health Savings Account (HSA) is whether it covers previous year's health bills. Let's delve into this topic to provide a clear understanding for HSA account holders.

When it comes to using your HSA to cover medical expenses, it's essential to know the rules and guidelines set forth by the IRS:

  • An HSA can only be used to pay for qualified medical expenses that occurred after the HSA was established.
  • If you incurred medical expenses in a previous year before opening your HSA, those expenses are not eligible to be paid with HSA funds.
  • However, you can save your receipts for qualified medical expenses and reimburse yourself from your HSA at a later date, even if the expenses were incurred in a previous year.

It's crucial to keep accurate records and receipts of all medical expenses that you want to reimburse yourself for from your HSA. This documentation will help support the eligibility of the expenses and ensure compliance with the IRS regulations.

By understanding the rules surrounding HSA fund usage, individuals can effectively manage their healthcare expenses and maximize the benefits of their HSA.


Many people wonder about the flexibility of their Health Savings Account (HSA) when it comes to covering previous year's medical bills. The rules established by the IRS provide clarity: HSAs are specifically designed to cover qualified medical expenses incurred after the account was created.

It's important to note that any medical expense you faced before opening the account is not eligible for HSA reimbursement. However, if you held receipts for those expenses, you can reimburse yourself later using your HSA funds, as long as you incurred the expenses after the establishment of your HSA.

Maintaining diligent records is essential. Ensure that you keep all relevant receipts, as this documentation is crucial for verifying the legitimacy of your claims and complying with IRS regulations.

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