Do I Ever Pay Taxes on HSA Money? Explained in Detail

Many people wonder about the tax implications of their Health Savings Account (HSA) money. The good news is that, in most cases, you do not have to pay taxes on HSA funds if you use them for qualified medical expenses.

Here's a breakdown of the tax treatment of HSA money:

  • No Taxes on Contributions: Contributions made to your HSA are tax-deductible, meaning you can lower your taxable income by contributing to your HSA.
  • No Taxes on Growth: Any interest or investment gains in your HSA account grow tax-free.
  • No Taxes on Withdrawals for Medical Expenses: Withdrawals made for qualified medical expenses are tax-free at any time.
  • Taxes on Non-Qualified Withdrawals: If you withdraw HSA funds for non-qualified expenses before age 65, you will owe income taxes on the amount plus a 20% penalty. After age 65, you will only owe income taxes on non-qualified withdrawals.
  • No Taxes on Transfers: Transferring money between HSA accounts or rolling over funds from one HSA to another does not trigger any tax consequences.

It's important to keep receipts and documentation of your medical expenses when using HSA funds to ensure compliance with tax regulations. Consult with a tax professional or financial advisor for personalized advice regarding your HSA.


The ins and outs of taxes on your Health Savings Account (HSA) can be a bit confusing, but understanding them is crucial for maximizing your savings. Generally speaking, you won’t pay taxes on your HSA funds when used for qualified medical expenses.

Let’s dive deeper into how HSA funds are treated for tax purposes:

  • No Taxes on Contributions: When you contribute to your HSA, it reduces your taxable income, so you won’t owe any taxes on that amount.
  • No Taxes on Growth: Any interest or gains from investments in your HSA grow without being taxed until withdrawal.
  • No Taxes on Withdrawals for Medical Expenses: As long as you withdraw money for qualified medical expenses, you won’t owe taxes.
  • Taxes on Non-Qualified Withdrawals: Should you use your HSA funds for non-qualified expenses before age 65, be prepared to pay income taxes plus a hefty 20% penalty. Post-65, only income taxes apply.
  • No Taxes on Transfers: Moving your HSA funds from one account to another doesn’t incur any taxes, which gives you flexibility with your savings.

Always save your receipts and maintain solid records for any medical expenses, ensuring that you’re well-prepared for tax time. It’s often wise to consult with a tax professional to tailor advice specifically to your financial situation.

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