Arizona Tax: Can I deduct medical expenses that were paid with an HSA, MSA, FSA or HRA?

When it comes to deducting medical expenses paid with various health savings accounts, like HSA, MSA, FSA, or HRA in Arizona, there are certain rules and regulations to consider. Let's delve into the details to understand how these accounts impact your taxes.

Health Savings Accounts (HSAs) are tax-advantaged accounts that allow individuals to save for medical expenses on a pre-tax basis. Here is how these accounts may affect your tax deductions:

  • Contributions made to an HSA are tax-deductible.
  • Withdrawals for qualified medical expenses are tax-free.
  • If you use your HSA funds for non-qualified expenses, you may face taxes and penalties.

Now, let's explore how other accounts like Medical Savings Accounts (MSAs), Flexible Spending Accounts (FSAs), and Health Reimbursement Arrangements (HRAs) impact your tax deductions:

  • MSAs and FSAs also offer tax advantages for medical expenses, but the rules may vary.
  • With an HRA, the employer typically funds the account, and the reimbursements for medical expenses are generally tax-free.
  • It's essential to understand the specific rules governing each account to maximize your tax benefits.

In Arizona, you can usually deduct qualified medical expenses paid with HSA, MSA, FSA, or HRA funds on your state taxes. However, it's advisable to consult with a tax professional or refer to the Arizona Department of Revenue for detailed guidance based on your individual circumstances.


Understanding how to deduct medical expenses paid with health savings accounts like HSA, MSA, FSA, and HRA can make a significant difference in managing your healthcare costs in Arizona. These accounts provide unique tax benefits that can enhance your savings.

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