Can I Withdraw from HSA in 2019 for 2018 Expenses? - Exploring the Rules and Guidelines

When it comes to HSA withdrawals, understanding the rules and guidelines is crucial to making informed decisions. One common question that many individuals have is whether they can withdraw from their HSA in 2019 for expenses incurred in 2018. Let's delve into this topic to provide you with the insights you need.

Typically, HSA withdrawals should be used for current medical expenses. However, there is a bit of flexibility when it comes to expenses from previous years.

Here are some key points to consider:

  • According to IRS guidelines, you can reimburse yourself from your HSA for qualified medical expenses incurred in previous years as long as the HSA account was established when the expense was incurred, and the expense was considered a qualified medical expense at that time.
  • Even if you didn't have the HSA when the expense was incurred, if you pay for a qualified medical expense out of pocket and then establish the HSA later, you can reimburse yourself from the HSA for that expense. Just ensure you keep proper documentation.
  • It's important to note that there is no time limit on when you can reimburse yourself from your HSA for past medical expenses. This provides some flexibility for individuals who may have incurred eligible expenses in the past.

Overall, while the primary purpose of an HSA is to cover current medical expenses, the IRS does allow for some flexibility when it comes to withdrawing funds for previous expenses. Just make sure to keep accurate records and follow the guidelines to avoid any penalties or tax implications.


Understanding the nuances of HSA withdrawals can significantly enhance your financial planning. Many people wonder, can I withdraw from my HSA in 2019 for medical expenses that I incurred in 2018? The answer is not as straightforward as it seems, so let's break it down.

Although the primary intention of Health Savings Accounts (HSAs) is to cover current medical expenses, the IRS does provide some leeway for expenses from prior years.

Here are a few essential points to keep in mind:

  • If you have incurred qualified medical expenses in 2018 and you had your HSA established at that time, you are eligible to withdraw funds to reimburse yourself for those expenses.
  • Alternatively, if you didn't yet have an HSA when you paid for a qualified medical expense out-of-pocket, you still can set up an HSA later and withdraw funds to reimburse yourself, as long as you maintain proper receipts and documentation.
  • One of the great things about HSAs is that there is no expiration date on reimbursing past qualified medical expenses. This allows ample opportunity for individuals with past expenses to benefit from their HSA.

In summary, while HSAs are primarily used for current expenses, the flexibility to withdraw for past medical expenses can be very beneficial. Just remember to keep your documentation in order to avoid complications with the IRS.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter