Do I lose my HSA if I don't use it?
Asked by: Vicenta Weber | Last update: November 15, 2025Score: 4.6/5 (26 votes)
What happens to your HSA if you 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 happens with 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.
Is it better to not use your HSA?
It is generally better to max out your hsa, and leave it to invest and grow. It's a rare investment vehicle that is triple tax advantaged: goes in pretax from pay check, grows tax free, comes out tax free.
Can you lose your HSA account?
Although your HSA may have been offered as part of your employer's benefits package, it remains yours, even when you leave your job. If you want to, you could leave those dollars where they are and continue to save, invest, and withdraw them tax-free for qualified medical expenses.
Why you should NOT have an HSA | The REAL truth about Health Savings Accounts
What happens if I don't withdraw from my HSA?
You can pay expenses out of pocket and reimburse yourself when you need the money since there's no "use it or lose it" rule with HSAs. The benefit of leaving your HSA funds in the account until you need them, is it lets your money continue to grow tax-free, adding to your HSA's total value.
What is the 12 month rule for HSA?
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 one downside of an HSA?
Weak earnings and investment limits: Interest rates on HSA accounts may be low and some trustees charge a monthly fee if your balance drops below a certain threshold. Minimum balance requirements may apply before you can invest; investment options may be limited, and investments are not insured.
Does your HSA expire?
Your HSA contributions don't expire. The money stays in the HSA until you use it.
Can HSA be used for dental?
Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.
What happens if you don't withdraw excess HSA contributions?
The IRS imposes a 6% excise tax on any excess accumulation in your HSA. This tax is applied each year until the excess amount is withdrawn from the account. The excise tax is in addition to any income tax you may owe on the excess contribution.
Can you use HSA for gym membership?
Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.
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.
What to do with an unused HSA?
Any unused funds may be used to pay for future qualified medical expenses. You can also use your HSA to pay for COBRA and certain Medicare premiums, as well as qualified long-term care premiums, which are subject to annual IRS limits.
Can I use my HSA to pay for my girlfriend?
The only time you can use your HSA to pay for the healthcare costs of a friend is if you have named that person as a dependent on your most recent tax return (provided that they qualify under the non-relative qualifications — detailed below).
Do I need to report my HSA if I didn't use it?
Besides being able to set aside money tax-free, HSAs have other tax benefits: Any interest they earn is not taxable. There's no “use-it-or-lose-it” rule, like with an FSA. If you don't use all the money up in the year, it rolls over from year to year and continues earning interest.
What happens if I don't use my HSA money?
If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.
Can you roll an HSA into a Roth?
After age 65, you can withdraw money to pay for any type of expense without a penalty, but you'll still need to pay income taxes on withdrawals used for nonqualified expenses. Can I roll my HSA into a Roth IRA? No, the IRS does not allow you to roll funds from an HSA to an IRA, such as a Roth IRA.
Is an HSA yours forever?
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.
Is it better to pay out-of-pocket or use HSA?
Use HSA funds to pay for emergency medical costs.
A better option is to pay with other funds and keep track of expenses. Medical claims never expire, so money can be withdrawn tax-free in retirement in order to reimburse medical expenses that were paid out-of-pocket years before.
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).
Is it better to have an HSA or copay?
If you don't have an HDHP, have a family, and require frequent diagnostic medical care, a copay plan may be a better option. Neither an HSA or copay plan is better than the other; you just need to decide which plan meets all of your needs and will benefit you the most.
When should I stop putting money in my HSA?
If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA. But, you can use money left in your HSA to help pay for qualified medical expenses that Medicare doesn't cover.
Can I use HSA to pay insurance premiums?
By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs. HSA funds generally may not be used to pay premiums.
Are vitamins HSA eligible?
In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.