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The Daily Insight Hub

Do HSA accounts ever expire?

Author

Andrew Campbell

Updated on January 24, 2026

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 happens to my health savings account at the end of the year?

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. Your HSA belongs to you, not your employer, just like your personal checking account.

Can I use my new HSA for old medical bills?

That means you can use savings from an old HSA to pay for this year’s medical expenses or other old medical debt, so long as you incurred that expense after you opened the HSA.

Do I have to spend my HSA every year?

Once funds are deposited into the HSA, the account can be used to pay for qualified medical expenses tax-free, even if you no longer have HDHP coverage. The funds in your account roll over automatically each year and remain indefinitely until used. There is no time limit on using the funds.

What is the penalty for closing an HSA?

What are the penalties if I close my HSA? There are no tax penalties for closing an HSA. However, if you use HSA funds for other than qualified medical expenses, those distributions will be subject to ordinary income tax, and in some cases, a 20 percent penalty.

Can you lose money in an HSA account?

If you withdraw HSA funds and don’t use them to pay for qualified medical expenses, you’ll pay income tax and a penalty. Unlike an FSA, there’s no “use it or lose it” provision. If you have an HSA through an employer, the money in the account is yours – and you can take the balance when you leave your job.

What happens if you don’t use all of your HSA money?

If you withdraw HSA funds and don’t use them to pay for qualified medical expenses, you’ll pay income tax and a penalty. Unlike an FSA, there’s no “use it or lose it” provision. You can find HSA-qualified plans through your health insurance exchange. There’s no deadline to reimburse yourself for medical expenses.

How far back can you go to reimburse myself from 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. According to the IRS, there is no time limit for paying yourself back, but there are some rules (we’ll explain more below).

How far back can I reimburse myself from HSA?

As long as you opened your HSA before the medical event happened, you can reimburse yourself any time, as long as the expense isn’t repaid by a third-party or by any other means.

What can I do with my health savings account?

You can use an HSA for qualifying medical expenses. Most HSAs provide a debit card to use for paying your expenses. Most HSAs provide a debit card to use for paying your expenses. Keep any receipts from purchases you make using your HSA, as well as any statements you receive about your HSA.

What happens to your health savings account at the end of the year?

Any money that is in your account at the end of the year remains in your account to pay for future qualified medical expenses. End of year balances are carried over indefinitely. The account and its funds belong to you, and you retain ownership even if you change health insurance plans, change jobs, or retire.

When to open a health savings account ( HSA )?

An HSA’s Establishment Date is critical: An HSA’s establishment date is key. While you can wait years to reimburse a medical expense, the expense must have incurred after the HSA’s establishment date. That means one should open an HSA, assuming they have a high deducitble plan, as soon as possible.

When to use HSA debit card for expenses?

One common mistake is that people assume an expense is qualified when it is not. It also happens that people accidentally pay for non-qualified expenses with their HSA debit cards. Other times people need the money to pay for unexpected expenses in other areas of their lives.