Are HSA Investments Taxed? Understanding the Tax Implications of HSA Investments

Health savings accounts (HSAs) are a powerful tool for managing healthcare expenses and saving for the future. One common question that arises among HSA account holders is whether HSA investments are taxed. The short answer is that HSA investments are not taxed as long as they are used for qualified medical expenses. However, there are important nuances and details to be aware of when it comes to the tax implications of HSA investments.

HSAs offer a triple tax advantage, making them a valuable savings vehicle:

  • Contributions are tax-deductible
  • Money grows tax-free
  • Withdrawals for qualified medical expenses are also tax-free

Here's a breakdown of how taxes apply to HSA investments:

  • Tax-Free Growth: When you invest your HSA funds, any earnings and interest are not subject to federal income tax. This allows your money to grow faster compared to a regular savings account.
  • Tax-Free Withdrawals: As long as you use the funds for qualified medical expenses, withdrawals from your HSA, including earnings from investments, are not taxed.
  • Non-Medical Withdrawals: If you withdraw HSA funds for non-medical expenses before the age of 65, the amount will be taxed as ordinary income, and you may face a 20% penalty. However, after 65, non-medical withdrawals are treated like a traditional IRA, subject to income tax but no penalty.

It's essential to keep accurate records of your HSA expenses and investments to ensure compliance with IRS regulations. By using your HSA funds for qualified medical expenses, you can maximize the tax benefits and secure your healthcare savings for the future.


Understanding the tax implications of Health Savings Accounts (HSAs) can empower you to make better financial decisions. Remember, HSA investments are a fantastic way to manage rising healthcare costs and take advantage of tax breaks.

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