What happens when you run out of HSA money?

Asked by: Alisa Larson  |  Last update: November 8, 2023
Score: 4.3/5 (38 votes)

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 an HSA have a negative balance?

The IRS states that having a negative HSA balance is prohibited by federal law. And while the IRS doesn't provide any specific guidance beyond that statement, you need to be sure that no expenses cause your HSA to fall into a negative balance. Long story short—don't overdraw your HSA.

Can you borrow money from your HSA?

The short answer is "no." You can't borrow funds in advance from your HSA, even if you incur a qualified medical expense.

What is the shoebox rule for HSA?

The shoebox strategy is a long-term savings strategy for hacking your HSA's tax advantages. Instead of using your HSA to reimburse yourself immediately after incurring an eligible medical expense, you wait to reimburse yourself (and lessen the burden of your tax bill since withdrawals are tax-free).

Can you spend HSA money on diapers?

Diapers (Infant): HSA Eligibility

Diapers are not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement arrangements (HRA), dependent care flexible spending accounts (DCFSA) or limited-purpose flexible spending accounts (LPFSA).

What happens to my HSA money when I die? HSAPAY questions answered in under a minute.

38 related questions found

Can you put toilet paper on HSA?

Toiletries are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can you use HSA for baby items?

In addition to baby monitors being eligible for FSA or HSA reimbursement some common baby items are also FSA or HSA eligible. Though each Flexible Spending Account (FSA) and Health Savings Account (HSA) has its own rules, the following baby gear items may be eligible as well: Breast Pump. Bottles.

Can I move 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.

Can I withdraw from my HSA to buy a house?

A much smaller group has even discovered they can use their HSA balances to purchase investment property, again using the same tax rules. They can even have their HSA partner with their IRA or other Retirement Accounts in the real estate purchase.

Can I use money from HSA to buy a house?

HSA funds can also be withdrawn for non-medical expenses like buying a home or paying with a larger down payment. The withdrawal amount is subject to a 20% early withdrawal penalty and considered taxable income.

Do I lose the money in my HSA if I don't use it?

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.

How long can you leave money in an HSA?

All of the money in an HSA (including any contributions deposited by an employer) is owned by the employee even if they leave their job, lose their qualifying coverage or retire. The money in an HSA never expires. Unlike flexible spending accounts (FSAs), all remaining HSA funds roll over each year.

What can I do with HSA money?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

Can HSA be used for massage?

Massages with a doctor's note of necessity

In certain cases, the massage is deemed medically necessary, and can be classified as a qualified medical expense. In a case like this, accountholders can use their HSA to pay for the massage.

Can I use HSA money to pay off old medical bills?

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 much should I have in my HSA?

The short answer: As much as you're able to (within IRS contribution limits), if that's financially viable. If you're covered by an HSA-eligible health plan (or high-deductible health plan), the IRS allows you to put as much as $3,850 per year (in 2022) into your health savings account (HSA).