Do You Have to Pay Taxes on HSA Accounts?

Health Savings Accounts (HSAs) are a popular way for individuals to save money for medical expenses while enjoying tax benefits. One common question that comes up is whether you have to pay taxes on HSA accounts. The answer is that in most cases, HSA funds are tax-free when used for qualified medical expenses.

Here are some key points to consider about taxes and HSAs:

  • Contributions to an HSA are tax-deductible, meaning you can reduce your taxable income by the amount you contribute to your HSA.
  • Any interest or investment earnings on HSA funds are also tax-free.
  • When you withdraw money from your HSA for qualified medical expenses, those withdrawals are tax-free as well.
  • If you use HSA funds for non-qualified expenses, you may have to pay taxes on the amount withdrawn, plus a 20% penalty if you are under 65 years of age.

It's important to keep good records of your HSA transactions to ensure you are using the funds for qualified medical expenses and to avoid potential tax implications. Consult with a tax professional or financial advisor if you have specific questions about taxes and HSAs.


Health Savings Accounts (HSAs) are not just tax-efficient tools; they also provide flexible saving options for medical expenses. Generally, when you use your HSA funds for qualified medical expenses, you don't have to pay taxes on those withdrawals.

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