Can I use my HSA card to pay medical bills online?

Asked by: Guillermo Russel Sr.  |  Last update: March 21, 2025
Score: 5/5 (18 votes)

HSA Central Debit Card – Pay for eligible medical items with your HSA Central Debit Card. You can use it just like a regular debit card for transactions in-store, online, at the doctor, and at other medical merchants.

How do I use my HSA to pay medical bills?

Pay the provider directly from the member website or MyHealth app. Just like you pay other bills online, you can also go online to pay for your health care expenses with funds from your health account. A check will generally be mailed to your provider within 3 to 5 days.

Can I use my HSA card to pay online?

HSA debit card: Whether it's at the doctor's office, the store, or online, you'll be using your HSA debit card just like you'd be using your regular debit card.

Can I transfer money from my HSA to my bank account?

Online Transfers – On HSA Bank's member website, you can reimburse yourself for out-of-pocket expenses by making a one-time or reoccurring online transfer from your HSA to your personal checking or savings account.

What if I accidentally used my HSA card for groceries?

If you've mistakenly used HSA funds for nonqualified expenses, you must repay the distribution amount back into your HSA by the tax filing deadline for the year in which the distribution occurred. By reimbursing your HSA, you can avoid the income tax and the 20% penalty on nonqualified distributions.

New HSA Rules in 2025 You Need to Know

32 related questions found

How does IRS know what you spend HSA on?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

Can I get in trouble for using HSA money?

When health savings accounts aren't used for their intended purposes, account holders are often assessed penalties. When an account holder under the age of 65 uses their health savings account's funds for non-medical expenses, they have to pay income tax on the money spent plus a 20-percent penalty.

Can you pull cash out of your HSA account?

Your HSA can also function as a backup emergency fund, letting you withdraw tax-free cash when you really need it. You can only do this if you delay reimbursing yourself for previous medical expenses you paid out of pocket for. This allows you to withdraw a larger amount of money at a later time.

How much should I put in my HSA per paycheck?

You can start small, perhaps setting aside $25 to $50 per paycheck. Consider also trying to cut back on non-essential spending, such as foregoing one of your app subscriptions, reducing meals out or making your morning cup at home versus going to a coffee shop.

Can I use my HSA for someone not on my insurance?

Yes, as long as you use the funds to pay for qualified medical expenses, you can pay for any family member who is a tax dependent on your tax return. You may also use the funds for medical expenses incurred by your child who is claimed as a tax dependent by their other parent.

What can I not use my HSA card for?

Other items that aren't eligible include maternity clothes, funeral costs, child care for healthy babies, toiletries, over-the-counter medicine, swimming lessons and elective cosmetic procedures. You also usually can't use HSA money to pay for health insurance premiums unless you meet certain criteria.

Can you order online with HSA card?

FSA- and HSA-eligible products, such as contact lenses, first aid supplies and sun care, can be paid for in store or online with your FSA or HSA card. With the passing of the 2020 CARES Act, many new items and categories are now eligible without a prescription, including cough and cold, allergy and sinus and more.

Can I run my HSA card as credit?

In order for your card to work, you must have the balance available in your HSA; no overdraft is available. Please note: The card will not work at ATMs and will only work at appropriate medical facilities. The card should always be run as 'credit' and no PIN is required.

What is the 12 month rule for HSA?

About the IRS' last-month rule testing period and penalty

It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

Can I use my HSA to pay for something else?

Tax benefits and limitations:

HSAs may earn interest that can't be taxed. You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes.

What happens to unused HSA funds?

Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.

What is a good HSA balance?

What Is the Average HSA Balance By Age? The average HSA balance for a family is about $7,500 and for individuals it is about $4,300. This average jumps up to $12,000 for families who invest in HSAs. Here's a breakdown of the average HSA balance by age.

Can you use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Can I borrow from my HSA and pay it back?

No.

How to transfer money from HSA to bank account?

* – To transfer funds directly from your HSA to your personal bank account, you will first need to add your bank account information to your profile. To do this, select “Profile” in the main navigation menu, then select “Banking/Cards” on the left-hand side and select the “Add Bank Account” link.

Do you pay taxes on HSA withdrawals?

Contributions, interest, any investment gains, and withdrawals for qualified health care expenses are all federal tax-free.

Can you pay medical bills with HSA?

You may generally know you can pay for qualified medical expenses with money from your health savings account (HSA)—but dig into the specifics and you might find some unexpected possibilities that could lead to savings.

What if I accidentally bought food on my HSA?

You can repay the incorrect distribution before filing your federal taxes for that tax year. However, if you do not correct the mistake, the unqualified amount will be subject to income tax, and you may also face an additional 20% tax penalty.

What happens if I use my HSA card for something not covered?

Unfortunately, you can't just let mistakes like this slide. You can be charged a 20% penalty if you use your HSA funds to pay for a non-qualified medical expense, which would have been $70 in my case (not to mention traditional income taxes would apply, too).