Are HSA Contributions Exempt from FICA Tax?

Health Savings Accounts (HSAs) have become a popular choice for many individuals looking to save for their healthcare expenses while enjoying tax benefits. One common question that often arises is whether HSA contributions are exempt from FICA tax.

To answer the question: Yes, HSA contributions are exempt from FICA tax. This means that when you contribute to your HSA account, those contributions are not subject to FICA tax, which includes Social Security and Medicare taxes.

There are several key points to keep in mind regarding HSA contributions and FICA tax:

  • HSA contributions are made on a pre-tax basis, lowering your taxable income
  • Employer contributions to your HSA are also exempt from FICA tax
  • Any interest or earnings on your HSA investments are tax-free as long as they are used for qualified medical expenses

It's important to note that while HSA contributions are exempt from FICA tax, they are still subject to federal income tax in some states. However, the tax advantages of an HSA, such as tax-deductible contributions and tax-free withdrawals for medical expenses, make it a valuable savings tool for healthcare costs.


Health Savings Accounts (HSAs) are an increasingly popular tool for individuals who want to save for future medical costs while enjoying significant tax benefits. One frequently asked question is whether contributions to HSAs are exempt from FICA tax.

The answer is a resounding yes. Contributions made to an HSA are exempt from FICA tax, encompassing both Social Security and Medicare taxes, thereby making your healthcare savings more efficient.

Here are several essential points to remember about HSA contributions and FICA tax:

  • Your HSA contributions are made pre-tax, which effectively reduces your taxable income.
  • Contributions made by your employer to your HSA are also free from FICA taxes.
  • Any interest you earn or investments in your HSA grow tax-free, as long as they are used for qualified medical expenses.

Additionally, while HSA contributions are not subjected to FICA tax, they could still be liable to state income tax in certain areas. However, the valuable tax advantages of HSAs—like tax-deductible contributions and tax-free withdrawals for eligible medical expenses—make them an excellent choice for tackling healthcare costs.

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