Do I Pay Taxes on a Nonqualified HSA? Explained

Health Savings Accounts (HSAs) are a great way to save money for medical expenses while enjoying tax benefits. However, not all HSAs are treated equally when it comes to tax implications. When it comes to nonqualified HSAs, there are some important factors to consider regarding tax obligations.

Firstly, it's crucial to understand that contributions to an HSA are usually tax-deductible, meaning you can lower your taxable income by contributing to your HSA. This applies to both qualified and nonqualified HSAs.

However, the key difference lies in how the withdrawals are taxed. Here's what you need to know:

  • For qualified HSA withdrawals used for eligible medical expenses, the withdrawals are tax-free.
  • For nonqualified HSA withdrawals used for non-eligible expenses, the withdrawals are subject to both income tax and a 20% penalty.

So, if you end up withdrawing funds from your HSA for non-qualified expenses, you will face tax consequences. It's important to be aware of this and only use your HSA funds for eligible medical expenses to avoid unnecessary taxes.


Health Savings Accounts (HSAs) provide an excellent opportunity to save pre-tax money for medical expenses, but understanding the tax implications of nonqualified HSAs is essential. When contributing to your HSA, you generally receive a tax deduction, which applies to both nonqualified and qualified HSAs. However, things get tricky when you start withdrawing funds.

For withdrawals made for qualified medical expenses, you're in the clear; they're tax-free. Yet, for those nonqualified withdrawals, you'll need to brace yourself for income tax and a hefty 20% penalty. Thus, it's vital to use your HSA resources wisely and for the intended medical costs to avoid these unnecessary expenditures.

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