What Happens to Money in HSA if Not Used? - Understanding the Fate of Unspent HSA Funds

Health Savings Accounts (HSAs) are a popular way for individuals to save and pay for medical expenses with tax advantages. One common question that arises is what happens to the money in an HSA if it is not used.

Here's what happens to the money in your HSA if it's not used:

  • Roll Over: Unlike flexible spending accounts (FSAs), the funds in an HSA roll over from year to year. There is no 'use it or lose it' rule with HSAs, so your money stays in the account until you decide to use it.
  • Continue to Grow: The unused funds in your HSA continue to grow tax-free, similar to a retirement account. This means you can let the money accumulate over time to help cover future medical expenses, even into retirement.
  • Withdraw Penalty-Free: If you need to withdraw the money for non-medical expenses after the age of 65, you can do so penalty-free. However, you will have to pay income tax on the withdrawn amount.

It's important to remember that HSAs are a long-term savings tool for healthcare costs, so leaving money in the account is a smart way to prepare for medical expenses in the future.


Health Savings Accounts (HSAs) are a valuable financial tool that not only help you manage healthcare expenses but also give you the luxury of time when it comes to using your funds. One major advantage is that any money you don’t spend in a given year will simply roll over into the next year, continuing to grow tax-free.

Here's a closer look at what happens to that unspent money:

  • Roll Over Benefits: Your HSA doesn't follow the dreaded 'use it or lose it' rule like FSAs do. This means if you don’t use your funds within the year, they will roll over, allowing you to carry over any remaining balance for future medical expenses.
  • Tax-Free Growth: The funds in your HSA can grow tax-free, similar to contributions to a traditional retirement account. Think of this as an opportunity to compound your savings over time, helping ensure you have adequate funds for unexpected medical needs.
  • Flexible Withdrawals: After reaching the age of 65, you can withdraw funds for any purpose without incurring a penalty, making HSAs not just a healthcare savings account, but a flexible financial resource for retirement.

By leaving money in your HSA, you are not just saving for the present but also strategically planning for your future healthcare needs.

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