Are Capital Gains and Interest on a HSA Taxed?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. One common question that arises is whether capital gains and interest earned on an HSA are taxed. Let's delve into this topic to provide clarity.

When it comes to HSAs, contributions to the account are tax-deductible, grow tax-free, and withdrawals for qualified medical expenses are also tax-free. However, the taxation of capital gains and interest in an HSA depends on how the funds are used:

  • If the capital gains and interest earned in your HSA are used for qualified medical expenses, they remain tax-free.
  • If the funds are withdrawn for non-medical expenses before the age of 65, the capital gains and interest will be subject to income tax and an additional 20% penalty.
  • After the age of 65, withdrawals from an HSA for non-medical expenses are taxed at your current income tax rate, similar to a traditional IRA.

It's essential to understand the tax implications of using HSA funds to avoid unexpected tax liabilities. Consulting a financial advisor can provide personalized guidance based on your specific situation.


Understanding the tax benefits of Health Savings Accounts (HSAs) can make a significant difference in how you manage your healthcare expenses. A common inquiry is whether capital gains and interest earned on HSAs are subject to taxation. Let’s explore this further.

With HSAs, your contributions are tax-deductible, allowing you to save money on your annual tax bill. The funds in your account grow tax-free, and importantly, withdrawals for qualified medical expenses are also tax-free. Here’s how taxation impacts capital gains and interest:

  • Any capital gains or interest accrued in your HSA are not taxed as long as they are utilized for qualified medical expenses.
  • Should you withdraw funds for non-medical expenses before turning 65, you will incur income tax on the gains, plus an additional 20% penalty.
  • Once you reach age 65, while you can withdraw for non-medical reasons, those funds will be taxed at your current income tax rate, akin to traditional IRAs.

In essence, understanding the tax rules surrounding HSAs is crucial for effective financial planning. It's always wise to consult a financial expert for tailored advice that fits your situation.

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