Do We Pay Yearly Taxes on HSA Money That's Still in the Account?

When it comes to HSA (Health Savings Account) funds, one common question that often arises is - Do we pay yearly taxes on HSA money that's still in the account?

The good news is that funds in an HSA account are tax-advantaged, meaning they offer unique tax benefits to the account holder:

  • Contributions to the HSA are tax-deductible, which means you can lower your taxable income by the amount you contribute to the account.
  • Interest or investment earnings on the HSA funds grow tax-free, allowing your money to accumulate without being diminished by taxes.
  • Withdrawals for qualified medical expenses are tax-free, making it a tax-efficient way to pay for healthcare costs.

So, in simple terms, you do not pay yearly taxes on the HSA money that remains in the account as long as it is used for qualified medical expenses. However, there are a few things to keep in mind:

  • If you withdraw funds for non-qualified expenses, you may be subject to income taxes and potentially a penalty.
  • Once you reach the age of 65, you can withdraw HSA funds penalty-free for any reason, but income taxes will still apply if not used for medical expenses.

It's important to utilize your HSA funds wisely and keep track of your expenses to ensure compliance with IRS regulations.


Many people wonder about the tax implications of their HSA funds, especially when it comes to whether or not they need to pay yearly taxes on the money still sitting in their accounts. The best part about HSAs is that the funds are tax-advantaged, which provides several significant benefits:

  • Your contributions to the HSA are tax-deductible, effectively reducing your taxable income right off the bat.
  • Any interest or investment gains on the funds grow tax-free over time, allowing for optimal growth of your savings.
  • Withdrawals made for qualified medical expenses are also tax-free, ensuring that you can manage your health costs without the burden of taxation.

So to put it simply, as long as your HSA funds are used for qualified medical expenses, you won’t owe any yearly taxes on the money left in your account. Here are a couple of things to be mindful of:

  • Should you withdraw money for non-qualified expenses, please note that you may face income taxes and some additional penalties.
  • After reaching the age of 65, you have the flexibility to withdraw from your HSA for any reason without facing penalties, but be aware that non-medical withdrawals will still be subject to income tax.

Using your HSA responsibly and being aware of IRS regulations will help you maximize your savings while minimizing tax liabilities.

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