When Do HSA Contributions Have to be Used? - A Guide to Understanding HSA Rules

Health Savings Accounts (HSAs) are a great way to save money for medical expenses while enjoying tax benefits. One common question many people have is, 'When do HSA contributions have to be used?' The answer to this question lies in the rules set by the IRS regarding HSA funds.

Here are some key points to understand about when HSA contributions have to be used:

  • HSAs do not have a 'use-it-or-lose-it' rule like Flexible Spending Accounts (FSAs). This means that your HSA contributions roll over from year to year and are not forfeited at the end of the year.
  • There is no time limit on when you have to use your HSA funds. You can let your contributions grow over time and use them for qualified medical expenses whenever you need to.
  • It is essential to keep track of your receipts for medical expenses paid with your HSA funds. While there is no time limit on when you can use your HSA contributions, you may need to provide documentation to the IRS if your HSA contributions are audited.
  • After you turn 65, you can use your HSA funds for non-medical expenses without incurring a penalty. However, you will have to pay income tax on the amount withdrawn for non-medical expenses.
  • It's important to note that using your HSA contributions for non-qualified expenses before the age of 65 may result in a 20% penalty, in addition to owing income tax on the amount withdrawn.

Understanding the rules around when HSA contributions have to be used can help you make the most of your HSA funds while avoiding unnecessary penalties. By using your HSA contributions for qualified medical expenses, you can enjoy the tax benefits of an HSA and save for future healthcare costs.


Health Savings Accounts (HSAs) can be a powerful financial tool, especially when it comes to planning for medical expenses in the future. Fortunately, HSAs do not operate on a 'use-it-or-lose-it' basis like FSAs, allowing you to carry your contributions over each year without fear of forfeiting any funds.

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