Do I Need to Pay Tax If I Take Money from HSA Account?

One common question people have about Health Savings Accounts (HSAs) is whether they need to pay tax if they take money from their HSA account. The short answer is that it depends on how you use the funds.

When it comes to HSA withdrawals, the tax implications vary based on the purpose of the withdrawal:

  • Qualified Medical Expenses: If you use the HSA funds for qualified medical expenses, you do not have to pay taxes on the withdrawal. These expenses typically include medical, dental, and vision care costs for you, your spouse, and your dependents.
  • Non-Medical Expenses: If you withdraw money for non-medical expenses, you will be subject to income tax on the amount withdrawn. If you are under 65 years old, you may also face an additional 20% penalty for using the funds for non-qualified expenses.
  • Retirement: Once you turn 65, you can withdraw funds from your HSA for any reason without penalty. While you will owe income tax on non-medical expenses, there is no additional penalty.

It's important to keep accurate records of your HSA withdrawals and ensure that you are using the funds for qualified medical expenses to avoid any tax implications. Consult with a tax professional or financial advisor for personalized guidance based on your situation.


When considering withdrawals from your Health Savings Account (HSA), it's essential to understand the tax implications tied to how you use the money. Money taken from your HSA for qualified medical expenses is not taxable, which is a significant advantage of these accounts.

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