HSA Shop logoHSA Shop

HSA Guide

Can You Claim Distributions from HSA on Your Taxes?

Published November 13, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: You don’t pay taxes on HSA distributions used for qualified medical expenses, but you do pay taxes—and possibly a 20% penalty if under 65—for non-qualified uses.

Tax rules depend on qualified medical use

Many people wonder whether they can claim distributions from their HSA on their taxes. The answer is that it depends on how you use the funds and what expenses you incur. Here are some key points to consider:

First and foremost, if you use your HSA funds for qualified medical expenses, you do not have to pay taxes on the distributions. These expenses include a wide range of medical services and treatments, such as doctor visits, prescription medications, and even some over-the-counter items.

However, if you use the funds for non-qualified expenses, you will have to pay taxes on the distribution. Additionally, if you are under the age of 65 and use the funds for non-medical purposes, you will also incur a 20% penalty on top of the taxes.

Recordkeeping and understanding withdrawal taxes

It's essential to keep detailed records of your HSA expenditures to ensure you can accurately report them on your taxes. This includes saving receipts and documenting each expense to substantiate your claims.

Many individuals are curious about the tax implications of withdrawing funds from their Health Savings Account (HSA). Understanding these rules can help you maximize your savings and avoid costly penalties.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles