Print What happens if you don’t use the money in an HSA (Health Savings Account) by the end of the year? Unlike flexible spending account contributions, the balance of an HSA carries over at the end of the year, so you won’t lose the money if it’s not spent on qualified medical expenses. Related Items Who is eligible to participate in Health Savings Accounts? Where can I find concise information about HSAs (Health Savings Accounts)? For Health Savings Accounts, what are qualified medical expenses? Will my Health Savings Account be charged a fee? Health Savings Account (HSA) rates What is a Health Savings Account, why would I need an HSA, and how do they work? What account number should I use to initiate a direct deposit or electronic debit to my health savings account (HSA)?