Do I Have to Pay Tax on My HSA Account After Age 65?

When it comes to your HSA account, you might be wondering about taxes once you reach the age of 65. The good news is that after age 65, you can still use your HSA funds tax-free for qualified medical expenses. However, there are some important things to keep in mind regarding taxation of your HSA account:

  • If you use the funds for non-qualified expenses after age 65, you will need to pay income tax on the withdrawn amount.
  • Once you enroll in Medicare, you are no longer eligible to contribute to your HSA account, but you can continue using the funds already in the account tax-free for medical expenses.
  • After age 65, you can also use your HSA funds for expenses other than medical, but you will be required to pay income tax on the withdrawn amount, similar to a traditional IRA.

Overall, having an HSA account can be a great financial tool, especially during retirement years. It's essential to understand the tax implications and rules associated with HSA accounts to make the most of your savings.


If you're over 65 and have an HSA account, your tax situation is unique but manageable. The IRS allows you to continue using your HSA funds tax-free for qualified medical expenses, which means you're set up for potential savings in healthcare costs. Remember, though, that any withdrawals for non-qualified expenses will incur income tax – this is crucial to keep in mind!

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