Do I Have to Include HSA on Taxes? A Complete Guide to Understanding HSA Tax Reporting

One common question that individuals often have when it comes to Health Savings Accounts (HSAs) is whether they need to include their HSA on their taxes. The short answer is yes, but the long answer requires a bit more explanation.

When it comes to taxes and HSAs, there are several key points to keep in mind:

  • Contributions to your HSA are tax-deductible, meaning you can reduce your taxable income by contributing to your HSA.
  • Any withdrawals used for qualified medical expenses are tax-free.
  • If you withdraw funds for non-medical expenses before age 65, you will incur a 20% penalty in addition to paying income taxes on the amount withdrawn.
  • Once you turn 65, you can withdraw funds from your HSA for non-medical expenses without incurring the 20% penalty, but you will still need to pay income taxes on the amount withdrawn.

So, in short, yes, you do need to include your HSA on your taxes, but the way in which you do so will depend on how you use the funds in your HSA.


Many people find themselves asking, "Do I have to report my Health Savings Account (HSA) on my taxes?" The answer is yes, and understanding how HSAs work tax-wise can genuinely help you manage your health expenses more effectively.

To clarify, consider these important aspects:

  • Your contributions to an HSA can lower your taxable income, offering you a great tax advantage.
  • Withdrawals for qualified medical expenses are entirely tax-free, allowing you to save on healthcare costs.
  • Be cautious—if you take out money for non-medical expenses before you hit 65, you’ll face a 20% penalty on top of any income taxes owed.
  • Post age 65, you can utilize HSA funds for non-medical purposes without incurring the penalty, although income taxes will still apply.

In summary, including your HSA on your taxes is necessary, but the implications depend on how you handle those funds.

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