Are Distributions from an HSA Considered Income? - HSA Awareness

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare costs, offering tax advantages and flexibility. One common question that arises about HSAs is whether distributions from them are considered income.

While contributions to an HSA are tax-deductible, and the growth is tax-deferred, the treatment of distributions depends on how they are used:

  • If HSA funds are used for qualified medical expenses, the distributions are tax-free.
  • If HSA funds are used for non-qualified expenses, the distributions are subject to taxation and may also incur a penalty.

It's important to keep in mind that:

  • Distributions from an HSA for qualified medical expenses are not considered income.
  • Distributions for non-qualified expenses are considered as income and will be taxed accordingly.

Ultimately, how distributions from an HSA are treated depends on the purpose for which they are used. Being aware of these rules can help individuals make informed decisions when using their HSA funds.


When it comes to Health Savings Accounts (HSAs), understanding whether distributions are considered income is crucial for effective financial planning. HSAs allow individuals to set aside pre-tax dollars to cover future medical expenses, providing a triple tax advantage: tax-deductible contributions, tax-deferred growth, and tax-free withdrawals for qualified medical expenses.

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