Do You Get Taxed on HSA Distributions? - Understanding HSA Taxation

Health Savings Accounts (HSAs) are a tax-advantaged way to save for medical expenses, but how are HSA distributions taxed? Let's dive into the details to understand the taxation of HSA distributions.

When it comes to HSA distributions, the tax treatment depends on how the funds are used:

  • Qualified Medical Expenses: If you withdraw money from your HSA to pay for qualified medical expenses, the distribution is tax-free.
  • Non-Qualified Expenses: If you use HSA funds for non-qualified expenses, the distribution is taxed as ordinary income and subject to a 20% penalty if you're under 65.

It's important to keep accurate records of your HSA withdrawals and ensure that the funds are used for eligible medical expenses to avoid any tax implications.


Health Savings Accounts (HSAs) are an incredible way to save for out-of-pocket medical expenses, offering a unique tax advantage. But how exactly are HSA distributions taxed? Let’s break it down for better clarity!

The way your HSA withdrawals are taxed largely hinges on how you use the funds:

  • Qualified Medical Expenses: If you withdraw your HSA funds to cover qualified medical expenses, you'll be happy to know that this distribution is fully tax-free and helps you manage your healthcare costs without financial stress.
  • Non-Qualified Expenses: On the other hand, if you decide to use your HSA money for non-qualified expenses, the amount will be taxed as ordinary income. Plus, there’s a 20% penalty if you’re below 65 years old, which can really eat into your savings.

Thus, keeping track of your HSA spending is crucial. By ensuring your distributions are strictly for eligible medical expenses, you can enjoy the full tax benefits HSAs provide.

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