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Can You Take Cash Out of Your HSA?

Published January 8, 2023

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Short answer: Yes—you can take cash out of your HSA, but non-medical withdrawals are subject to income tax and, if you’re under 65, a 20% penalty.

Ways to withdraw cash from HSA

One question that many people have about their Health Savings Account (HSA) is whether they can take cash out of it. The short answer is yes, you can take cash out of your HSA. However, there are some rules and guidelines to keep in mind when doing so.

When you have an HSA, the funds in it are meant to be used for qualified medical expenses. But there are situations where you may need to access the funds as cash. Here's how you can take cash out of your HSA:

  • ATM Withdrawal: You can use your HSA debit card at an ATM to withdraw cash.
  • Check Request: You can request a check from your HSA provider, which you can deposit into your bank account or cash elsewhere.

Tax rules and recordkeeping for cash

While you can take cash out of your HSA, it's essential to remember that using the funds for non-medical expenses incurs taxes and penalties. If you're under 65 and use the money for non-qualified expenses, you'll pay income tax plus a 20% penalty. After 65, you'll owe income tax but no penalty.

It's crucial to keep accurate records of your HSA transactions, especially if you're taking cash out. Make sure to save receipts and document how the cash was used to show that it was for medical expenses if needed.

Yes, you can take cash out of your HSA, but keep in mind the primary goal of the account is to cover qualified medical expenses. Always consider the purpose of your HSA funds before withdrawing.

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