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What Happens When You Use Up What Is In Your HSA Account?

Published July 16, 2024

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Short answer: If your HSA balance reaches zero, you lose access to tax-free medical funds and your HSA debit card/checks become inactive; you can reimburse eligible past expenses later, but non-qualified withdrawals before 65 incur a 20% penalty tax.

What happens when HSA funds run out

Using up the funds in your HSA account is a common situation that many individuals may face. It's essential to understand what happens when you deplete your HSA balance and what options are available to you.

When you use up what is in your HSA account:

  • Your account balance will reach zero, and you will no longer have access to tax-free funds for medical expenses.
  • You cannot use your HSA debit card or checks once the account is empty.
  • You will need to pay for medical expenses out of pocket without the tax advantages that an HSA offers.
  • However, there are still some important points to keep in mind:

Options and key reminders after depletion

  • If you have already used up all your HSA funds for eligible medical expenses, you can continue to save all of your medical receipts for reimbursement in the future once you have funds in your HSA account again.
  • If you withdraw funds for non-qualified expenses before age 65, you will incur a 20% penalty tax in addition to regular income tax.
  • Remember that your HSA account is portable, meaning you can take it with you if you change jobs or retire.

When your HSA account is drained:

  • You will no longer have access to the tax-free funds that help manage your healthcare costs.
  • Your HSA debit card and checks will be inactive once your balance reaches zero.
  • You might need to dip into your regular savings or cash to handle any upcoming medical expenses.
  • Despite this, keep in mind:

Receipt reimbursement, penalties, and portability

Using up the funds in your HSA account can happen to anyone, but it’s crucial to know the implications and your options moving forward.

  • If you've spent all your HSA funds on eligible medical costs, save your receipts for when you replenish your account – reimbursements can still happen!
  • Withdrawing for non-qualified expenses before turning 65 comes with a hefty 20% penalty tax on top of regular income tax, so be cautious.
  • Remember, your HSA is yours to keep! It's portable and can travel with you if you switch jobs or retire.

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