Can I use my HSA to reimburse myself?

Asked by: Ewell Stehr  |  Last update: November 26, 2023
Score: 4.3/5 (27 votes)

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

How do I reimburse myself with an HSA?

Reimburse Yourself for Out-of-Pocket Medical Expenses

HSA Bank Health Benefits Debit Card – You can use your HSA Bank Health Benefits Debit Card at an ATM3 to reimburse yourself for eligible expenses paid out-of-pocket (a transaction fee may apply).

Can I reimburse myself from HSA without receipt?

As long as the qualifying medical expense was made after the establishment of your HSA, you can use your HSA to pay yourself back for your out-of-pocket expense. And while it isn't required that you submit receipts to be reimbursed from your HSA, we recommend it in case of an IRS audit.

How long can you reimburse yourself from an HSA?

There's no deadline for HSA reimbursements

There are lots of reasons to love your HSA, and here's one more — you can reimburse yourself for expenses years after they occurred.

Can you reimburse yourself from HSA for insurance premiums?

Generally, HSAs cannot be used to pay private health insurance premiums, but there are 2 exceptions: paying for health care coverage purchased through an employer-sponsored plan under COBRA, and paying premiums while receiving unemployment compensation.

Mailbag - HSA Reimbursement

20 related questions found

What is the HSA reimbursement loophole?

Again, you don't have to reimburse yourself for those medical expenses in the same year, or the same plan year that you incur those medical expenses. If you incur that medical expense, you can just write it down. And then you can reimburse yourself from the HSA at a later date.

Can you use HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Can I transfer money from HSA to 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 happens if you use your HSA for non medical?

Non-medical expenses

If HSA funds are withdrawn for non-medical use before age 65, some penalties apply. Funds withdrawn early lose their tax-exempt status and are subject to income taxes. Also, there is an additional 20% tax penalty for early non-medical withdrawals.

What happens to leftover HSA money?

No. HSA money is yours to keep. Unlike a flexible spending account (FSA), unused money in your HSA isn't forfeited at the end of the year; it continues to grow, tax-deferred.

Does the IRS monitor HSA accounts?

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. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.

What do I do if I accidentally used my HSA card?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

Are vitamins HSA eligible?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

Can I reimburse myself from HSA for OTC meds?

Thanks to the CARES Act, you can use your HSA funds to buy over-the-counter medications without a prescription. Prior to the passage of the act, these items were only eligible for reimbursement with a prescription.

Are glasses HSA-eligible?

It is permitted to use an FSA or HSA to cover the cost of prescription eyewear. Both glasses and contact lenses can be paid for using these accounts. Non-prescription eyewear cannot be paid for using an FSA or HSA, because it is not classed as a medical expense.

Is Lasik covered by HSA?

Can You Use HSA for LASIK? You can use an HSA for LASIK and other laser vision correction procedures. Like the FSA, the IRS sets limits on what procedures can be covered by an HSA. Laser vision correction procedures including LASIK, SMILE, and PRK are eligible expenses.

What happens if I use my HSA for Botox?

Money in an FSA or HSA does not cover cosmetic treatments. If you are getting Botox for a medical indication, such as migraine headaches, then you can use the money in your HSA for Botox. But cosmetic treatments are not eligible.

Will my HSA card work at a gas station?

Fuel, gasoline for medical care reimbursement is eligible with a flexible spending account (FSA), health savings account (HSA) or a health reimbursement arrangement (HRA).

Can you spend HSA money on anything?

If you have money in your HSA when you turn 65, you can spend it on anything you want — but if you aren't spending it for a qualified medical expense it will be taxed as income at your then current tax rate. You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses.

Can I withdraw money from my HSA card at an ATM?

Your HSA Bank Health Benefits Debit Card provides access to your HSA funds at point-of-sale with signature or PIN and at ATMs for withdrawals.

Are car seats covered by HSA?

Although required for the protection of young children, car seats do not qualify as medical care and are therefore not eligible.

Can you use HSA for tummy tuck?

You can't use pre-tax funds from a health savings account (HSA) or a flexible spending account (FSA) for cosmetic surgical procedures, like a tummy tuck. However, if you have good credit, you could take out a private loan to finance your surgery.

Can you use HSA for teeth whitening?

What Dental Services are Not Covered by My HSA? Cosmetic procedures, like teeth whitening, are not covered by your HSA funds. Neither are dental products like dental floss, toothbrushes, toothpaste, or mouthwash. Those products are out of pocket expenses.

How can I get money out of my HSA without penalty?

After you reach age 65 or if you become disabled, you can withdraw HSA funds without penalty, but the amounts withdrawn will be taxable as ordinary income if not used for qualified medical expenses. Can I withdraw the funds from my HSA at any time?

Can I buy a treadmill with my HSA?

A treadmill may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA).