Is an Expense Incurred on the Date Billed or the Date Paid HSA?

When it comes to managing your HSA (Health Savings Account), one common question that often arises is whether an expense is considered incurred on the date it was billed or the date it was paid. This distinction is important as it can impact how you use your HSA funds and stay compliant with IRS regulations.

It's important to understand that expenses incurred for HSA-qualified medical services are typically considered incurred on the date the service was provided or the date it was billed, whichever comes first. Here are some key points to keep in mind:

  • Expenses are considered incurred on the date of the actual medical service or treatment, not necessarily when the bill is received.
  • Medical bills can sometimes be delayed or processed after the service was provided, so it's crucial to track the date of service to determine the correct incurred date.
  • If you receive a bill after the service was provided, the date of service is still considered the incurred date for HSA purposes.

It's essential to keep thorough records of your medical expenses and HSA transactions to ensure that you are using your funds appropriately. While the date the bill is paid may not impact when an expense is considered incurred for HSA purposes, it's still important to stay organized and keep track of payments for your records.


When managing your HSA (Health Savings Account), understanding whether an expense is incurred on the date billed or paid is crucial for effective fund utilization. This distinction is key for IRS compliance and personal finance management.

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