Do I Have to Report Withdrawals from My HSA? - Understanding Your HSA Withdrawal Reporting

When it comes to Health Savings Accounts (HSAs), there are specific rules and guidelines to follow, especially when it comes to reporting withdrawals. An HSA is a fantastic financial tool that helps individuals save for medical expenses while enjoying tax benefits. However, it is crucial to understand the reporting requirements when you make withdrawals from your HSA.

So, do you have to report withdrawals from your HSA? The answer is yes, but it depends on how you use the funds:

  • Medical Expenses: If you use the HSA funds for qualified medical expenses, you do not have to report these withdrawals on your tax return. These withdrawals are tax-free.
  • Non-Medical Expenses: If you withdraw funds for non-medical expenses, you must report these withdrawals as taxable income on your tax return. Additionally, if you are under 65 years old, you may face a 20% penalty for using HSA funds for non-qualified expenses.

It is essential to keep detailed records of your HSA withdrawals and expenses to ensure accurate reporting come tax season. Be sure to save all receipts and documentation related to your medical expenses to substantiate your withdrawals.


When considering Health Savings Accounts (HSAs), it’s important to be aware of the specific requirements related to reporting withdrawals. HSAs are designed not only to help you save for medical costs but also provide you with significant tax advantages. Understanding these reporting requirements is essential for maximally benefiting from your HSA.

So, should you report your HSA withdrawals? The answer is generally yes, but it hinges on the intended use of those funds:

  • Qualified Medical Expenses: Withdrawals for eligible medical expenses do not need to be reported on your tax return and remain tax-free, making them a powerful resource for managing healthcare costs.
  • Withdrawal for Other Expenses: If you tap into your HSA for non-medical reasons, you'll have to report those withdrawals as taxable income on your tax return. Plus, if you’re younger than 65, you could encounter a steep 20% penalty, which makes it even more important to use your HSA wisely.

To ensure smooth sailing during tax time, document every HSA withdrawal meticulously. Hold onto all your receipts and expense records related to medical services, as they are invaluable when it comes to validating your tax-free withdrawals.

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