Can You Get a Refund on HSA Tax From IRS?

Health Savings Account (HSA) is a beneficial financial tool that allows individuals to save for medical expenses on a tax-advantaged basis. One common question that arises among HSA users is whether they can get a refund on HSA tax from the IRS. The short answer is no, you cannot receive a refund on HSA tax from the IRS.

Here's why:

  • Contributions made to an HSA are tax-deductible, meaning you have already received a tax benefit when you contributed to your HSA account.
  • Any withdrawals made from your HSA account for qualified medical expenses are tax-free. This includes not only the principal contributions but also any interest or investment gains you may have earned.
  • If you withdraw funds from your HSA for non-qualified expenses before the age of 65, you will incur a 20% penalty in addition to owing income tax on the withdrawn amount.
  • After the age of 65, you can withdraw funds from your HSA for any reason without incurring the 20% penalty, but you will owe income tax on the withdrawn amount if used for non-qualified expenses.
  • Unused funds in your HSA roll over from year to year and continue to grow tax-free, providing a powerful way to save for future medical expenses.

While you may not be able to get a refund on HSA tax from the IRS, understanding the tax advantages and rules associated with an HSA can help you make the most of this valuable savings tool for healthcare costs.


The Health Savings Account (HSA) is not just a savvy way to save for future medical expenses—it's also a fantastic financial tool with several tax advantages, including tax-deductible contributions. Unfortunately, this means that you cannot apply for a refund on HSA tax from the IRS.

When you contribute to an HSA, you are actually lowering your taxable income. Here are some key points to consider:

  • Since contributions to an HSA are tax-deductible, you already see a tax benefit that you won’t receive back in a form of a refund.
  • Withdrawals for qualified medical expenses are tax-free, allowing you to stretch your healthcare dollars further.
  • Keep in mind that if you withdraw funds for non-qualified expenses before age 65, you face a hefty 20% penalty along with income tax on those funds.
  • On the bright side, after reaching 65, you can withdraw funds for any purpose without the 20% penalty, though income tax will apply if the funds aren’t used for qualified expenses.
  • Importantly, any leftover money in your HSA rolls over year after year, offering you a powerful vehicle to save for future medical needs while growing your savings tax-free.

Even though a tax refund on your HSA contributions isn’t in the cards, learning about the various advantages of your HSA can help you maximize this incredible savings option.

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