What Happens with Unused HSA Balance? - Exploring the Basics of Health Savings Accounts

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, allowing individuals to save money tax-free for medical costs. One common question that arises is, what happens with unused HSA balance?

When it comes to the unused HSA balance, here's what you need to know:

  • If you have funds left in your HSA at the end of the year, the balance rolls over to the next year. Unlike Flexible Spending Accounts (FSAs), there is no 'use it or lose it' rule with HSAs.
  • Your HSA is your money, and it stays with you even if you change jobs or health plans. It is a portable account that you can keep and continue using throughout your life.
  • Unused HSA funds can also be invested, allowing them to grow over time. This can help you save even more for future healthcare costs or retirement.
  • Once you turn 65, you can withdraw money from your HSA for any reason without penalty (though you will pay income tax if not used for qualified medical expenses).
  • If you pass away, your HSA can be passed on to your beneficiary tax-free, providing a financial cushion for your loved ones.

Overall, the unused balance in your HSA offers flexibility, long-term savings, and peace of mind for future healthcare needs.


Health Savings Accounts (HSAs) not only serve as a smart way to manage your healthcare expenses, but they also provide tremendous flexibility when it comes to handling unused funds. Unused HSA balances don't disappear after the year ends; rather, they carry over, allowing you to accumulate a health fund over time.

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