Can HSA be Withdrawn as Income? - Understanding HSA Withdrawals

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while saving money on taxes. One common question people have is whether HSA funds can be withdrawn as income. The answer to this question is not a simple yes or no, as there are specific rules and guidelines governing HSA withdrawals.

HSAs are designed to be used for qualified medical expenses, and withdrawing funds for non-medical purposes may result in tax implications. Here is an overview of how HSA withdrawals work:

  • Qualified Medical Expenses: Funds withdrawn from an HSA should be used for qualified medical expenses to avoid penalties and taxes. These expenses include a wide range of medical services, treatments, and supplies.
  • Non-Medical Withdrawals: If you withdraw funds from your HSA for non-medical expenses before the age of 65, you may incur a 20% penalty in addition to income tax. However, after the age of 65, you can withdraw funds for any purpose without penalty, though income tax will apply for non-medical expenses.
  • Income Tax Treatment: HSA withdrawals used for qualified medical expenses are tax-free. If funds are withdrawn for non-medical purposes, they are subject to income tax, similar to traditional retirement account withdrawals.
  • Documentation: It is essential to keep records and receipts of your HSA withdrawals and expenses to prove that the funds were used for qualified medical purposes, especially in case of an IRS audit.

Overall, while HSAs offer flexibility and tax benefits, it is crucial to understand the rules and regulations governing withdrawals to avoid penalties and maximize the benefits of your account. By using HSA funds for qualified medical expenses, you can effectively manage healthcare costs and save money on taxes.


Health Savings Accounts (HSAs) serve as a powerful ally in navigating healthcare expenses, thanks to their tax benefits. When considering whether HSA funds can be treated as income, it’s important to be aware of the rules that dictate how these withdrawals can be utilized.

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