Are HSA Distributions in the US Taxable in Holland?

If you are a US expat living in Holland or simply planning to move there, you might be wondering about the tax implications of your HSA distributions. Health Savings Accounts (HSAs) are a popular way for Americans to save for medical expenses while enjoying tax advantages. However, when it comes to living abroad, things can get a bit more complicated.

So, are HSA distributions in the US taxable in Holland? The short answer is - it depends. Here's what you need to know:

  • In the US, HSA distributions used for qualified medical expenses are tax-free.
  • However, when it comes to international taxation, each country has its own rules.
  • Holland follows the territorial taxation system, which means they typically only tax income earned within their borders.
  • As an expat, you may still be required to report your HSA distributions on your Dutch tax return.
  • It's advisable to consult with a tax expert who is familiar with US and Dutch tax laws to ensure compliance.

In summary, while HSA distributions in the US are generally tax-free for qualified medical expenses, the tax treatment in Holland may vary. It's essential to understand the specifics of international taxation to avoid any surprises come tax season.


If you're a US expat in Holland, you might find yourself feeling a bit puzzled about the tax implications of your Health Savings Account (HSA) distributions. Navigating the world of international taxation can be challenging, but understanding these rules is essential for managing your finances.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter