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Do I Have to Pay Taxes on my HSA at the End of the Year If I Don't Use It All?

Published March 26, 2023

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Short answer: You can keep HSA funds without losing them because unused balances roll over, and qualified withdrawals are tax-free.

Core HSA tax benefits and rules

If you have a Health Savings Account (HSA), you might be wondering about the tax implications of not using all the funds in your account by the end of the year. The good news is that HSAs offer a unique tax advantage that allows you to save money both now and in the future.

Here's what you need to know about taxes and your HSA:

  • Contributions to your HSA are tax-deductible, meaning they are not subject to federal income tax.
  • The funds in your HSA grow tax-free, so you won't pay any taxes on the interest or investment gains.
  • If you withdraw money from your HSA for qualified medical expenses, those withdrawals are also tax-free.
  • However, if you withdraw funds for non-qualified expenses, you will be subject to income tax and a 20% penalty if you are under 65.
  • If you don't use all the funds in your HSA by the end of the year, the balance rolls over to the next year. There is no If you're not using all the funds in your Health Savings Account (HSA) by December 31st, don’t worry! One of the great benefits of HSAs is that any unused balance simply rolls over into the next year, so you can use it at a later time without losing any money.

If you're not using all the funds in your Health Savings Account (HSA) by December 31st, don’t worry! One of the great benefits of HSAs is that any unused balance simply rolls over into the next year, so you can use it at a later time without losing any money.

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