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I have a HSA opened in June with a $1k opening balance. Sometime in August, I had a medical bill totaling $3k and I absent-mindedly paid for it out of my regular checking account.

Assuming I have all my receipts, can I now transfer another $3k into my HSA and then withdraw it back to my regular checking account and have that outflow from my HSA count towards the medical expense? Or am I only allowed to pay for a medical expense if the money directly came from my HSA at the time of payment?

Also, there were some other qualifying medical expenses in April (before I opened the HSA). Again, assuming I have receipts for these, can I adjust that expense against my HSA balance?

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  • Is your High.Deductible Health Plan (HDHP) single coverage or family coverage?
    – Ben Miller
    Oct 4, 2015 at 11:27

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Yes on the August expenses, No on the April; the expenses must have happened after the HSA was opened. Also, note that you're limited to (in 2015) $3350 of deposits to the HSA in a single year, so you can only put $2350 more into the HSA.

The IRS form for HSAs looks something like this:

1) How much money did you take from your HSA?
2) How much were your qualified medical expenses?
3) If (1) > (2), give us a bunch of money.

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    And if you're 55 or older, you can contribute an additional $1,000 (in 2015) per year.
    – blm
    Oct 2, 2015 at 16:50
  • Awesome, thanks! I also found this question which might be a superset of mine. Apparently, leaving the money in HSA to accrue interest and then claim reimbursements several years later is an acceptable strategy.
    – hsa
    Oct 2, 2015 at 20:01

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