Are Medical Reimbursements from an HSA Taxable? Explained

One common question that many individuals have about Health Savings Accounts (HSAs) is whether the medical reimbursements received from an HSA are taxable. The simple answer is no, medical reimbursements from an HSA are not taxable as long as they are used for qualified medical expenses.

Qualified medical expenses include a wide range of healthcare services, treatments, and products. These can include doctor visits, prescription medications, medical devices, and even certain dental and vision services.

It is essential to keep accurate records and receipts of all medical expenses that have been paid for using HSA funds. This documentation will be crucial in case of an IRS audit or if you ever need to prove that the reimbursements were used for qualified medical expenses.

While medical reimbursements from an HSA are not taxable when used for qualified medical expenses, it is essential to remember that using HSA funds for non-qualified expenses can result in tax implications.

If you withdraw funds from your HSA for non-qualified expenses, those amounts will be subject to income tax and may also incur a 20% penalty if you are under the age of 65. This penalty is in addition to the regular income tax that you would owe on the withdrawn amount.

In summary, medical reimbursements from an HSA are not taxable when used for qualified medical expenses, making HSAs a valuable tool for saving money on healthcare costs while also providing tax benefits.


One common concern among individuals with Health Savings Accounts (HSAs) is whether they might face taxes on medical reimbursements. The good news is that as long as these funds are applied to qualified medical expenses, they are completely tax-free.

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