What If I Run Out of HSA Before the Year? - Understanding Your Options

Running out of funds in your Health Savings Account (HSA) before the end of the year can be concerning, but there are options available to help you navigate this situation.

One of the key benefits of an HSA is that the money you contribute rolls over from year to year, unlike a flexible spending account (FSA) which has a ‘use it or lose it’ rule. However, there may be instances where you exhaust your HSA funds earlier than anticipated.

Here are some steps you can take if you run out of HSA before the year:

  • Check your spending: Review your medical expenses to ensure that you are only using your HSA for eligible healthcare costs.
  • Reevaluate your budget: Look at your current financial situation and adjust your budget to allocate more funds towards your HSA if possible.
  • Discuss payment options: Talk to your healthcare provider about payment plans or alternative payment options if you face a large medical expense.
  • Explore other funding sources: If needed, consider using personal savings or other financial resources to cover healthcare costs.
  • Plan for the future: Use this experience to better plan and budget for your healthcare expenses in the future.

It's essential to be proactive and explore all available options before depleting your HSA funds completely. By being mindful of your healthcare spending and seeking alternative solutions, you can efficiently manage your HSA even if you run out of funds before the year ends.


Running out of funds in your Health Savings Account (HSA) before the end of the year can be alarming, but don't panic—there are several ways to manage the situation effectively.

One of the standout features of an HSA is its ability to let your contributions roll over every year. This stands in stark contrast to a flexible spending account (FSA), which operates on a 'use it or lose it' basis. Nevertheless, life can throw unexpected medical expenses your way, leading to an early depletion of your HSA funds.

So, what should you do if your HSA runs dry? Here are some practical steps:

  • Auditing Your Expenses: Begin by carefully reviewing your recent medical expenses to confirm you’re using your HSA funds solely for qualified medical costs.
  • Revamp Your Budget: Take this opportunity to assess your overall financial health and identify areas where you could shift funds to replenish your HSA.
  • Communicate with Providers: Don’t hesitate to reach out to your healthcare providers. They may offer flexible payment plans or other solutions for managing large bills.
  • Other Financial Avenues: If your HSA is depleted and you face significant medical bills, consider tapping into personal savings or alternative financial resources.
  • Future Planning: Use this experience to enhance your financial planning and budgeting strategies for healthcare expenses going forward.

Taking proactive steps can help ease the strain of running out of HSA funds. Always remember, being informed and strategic about your healthcare spending can empower you to manage your HSA effectively.

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