Can you overdraft a HSA?

Asked by: Dr. Rosalyn Yost III  |  Last update: September 2, 2025
Score: 4.9/5 (24 votes)

Yes, an HSA can be overdrawn. There is no overdraft fee, but an HSA can be overdrawn for a variety of reasons. If your HSA does become overdrawn, it is important to resolve it quickly or your account may be closed.

Can I overdraw my HSA account?

An overdrawn balance in your HSA will be considered a prohibited transaction. Per IRS section 4975, if you engage in any prohibited transaction throughout the year, your HSA ceases to be classified as an HSA retroactive to January of the current year.

What if I don't have enough money in my HSA?

If you do not have enough money in your HSA to pay for an eligible medical expense you will need to pay for the expense by some other means. Once the money is in your HSA account, you can withdraw the amount that you paid and reimburse yourself.

Can I use my HSA card as a debit?

Use your HSA debit card to pay for eligible medical expenses. It should only be used at healthcare-related locations. When asked by a merchant or directed by a point- of-sale system to choose a payment method, should I select “Debit” or “Credit?” You will receive information about a debit PIN with your card.

What triggers an HSA audit?

Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.

Can My HSA Count Towards Investing?

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Does the IRS check HSA spending?

Is there an expense verification process like an FSA or HRA? Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA.

Can I borrow from my HSA and pay it back?

No.

Can I withdraw money from HSA?

Yes, you can withdraw funds from your HSA at any time.

What if I accidentally used my HSA card for groceries?

If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.

Why is my HSA card being declined when I have money?

Card declines can occur because funds have expired, new cards have been issued, the card does not have sufficient funds or various other reasons. You typically find the contact information for your plan administrator on the back of your FSA/HSA card.

What happens when my HSA balance is $0?

Will my HSA account remain open if I have a $0 balance? The account will remain open if you have a $0 balance. There is no fee assessed to you for having a $0 balance.

How does HSA know what you buy?

Because HSA administrators don't track the purchases employees make with their HSA, employees should make it a habit to save receipts for all HSA-eligible goods and services, so they can easily reimburse themselves when they are ready, or when they need the money.

What happens to my HSA if I never use it?

Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.

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 if I run out of money in my HSA?

What happens when my HSA funds run out? You may be financially responsible for any eligible medical expenses that fall within the coverage gap.

What happens if I go over my HSA balance?

If your HSA contains excess or ineligible contributions you will generally owe the IRS a 6% excess-contribution penalty tax for each year that the excess contribution remains in your HSA.

Can I go negative on my HSA card?

The IRS states that having a negative HSA balance is prohibited by federal law.

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 are the most common mistakes for HSA?

Common HSA mistakes and how to avoid them
  • Using an HSA when you're not eligible. ...
  • Paying for ineligible expenses. ...
  • Contributing too much to your account. ...
  • Paying someone else's medical bills. ...
  • Using all of your funds. ...
  • Using both an HSA and FSA. ...
  • Stay ahead of mistakes with HSA Store.

What happens if you use HSA money for non-medical?

In addition, if HSA funds are withdrawn before age 65 and not used for eligible medical expenses are generally subject to an additional 20% tax penalty. In other words, you may lose the tax benefits when you use HSA for non-medical expenses. There may also be a significant tax fee or penalty.

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.

Is HSA better than 401k?

Comparing HSAs and 401(k)s

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).

Can I ever cash out my HSA?

As a practical matter, you are allowed to withdraw funds from your HSA at any time for any reason. But if you aren't using the funds to cover a qualified medical expense, then you'll be stuck paying a penalty tax.

Can I use my HSA to pay off debt?

Use your HSA to pay for qualified medical expenses and put the money you would have otherwise used toward your medical debt. Since HSA contributions aren't subject to federal income tax, you could save up to 30% (depending on your tax bracket) on the services for which you pay with said contributions.

Can you use your HSA as an emergency fund?

Save for a health emergency

If you have few health-related costs (or simply a saver's mindset), your HSA can be a great “rainy day fund” for your health expenses. The most popular way to make deposit money into an HSA is through a “pre-tax contribution” through your paycheck.