Do You Have to Pay Taxes on Withdrawal from HSA after Age 65?

As you plan for your retirement and healthcare needs, you may be considering the benefits of a Health Savings Account (HSA). One common question that arises is whether you have to pay taxes on withdrawals from an HSA after age 65. Let's delve into this important topic to give you a better understanding.

According to the IRS guidelines, there is no penalty for withdrawing funds from your HSA after the age of 65 for non-medical expenses. However, these withdrawals will be treated as taxable income, similar to a traditional IRA or 401(k) withdrawal. This means that you will need to report the HSA withdrawals as income on your tax return.

It's important to note that if you use the HSA funds for qualified medical expenses, they remain tax-free at any age. This includes expenses such as doctor visits, prescription medications, and other healthcare services. Therefore, using your HSA for medical expenses can help you maximize the tax benefits even after age 65.

Furthermore, if you are enrolled in Medicare, you can still use your HSA to pay for eligible healthcare costs not covered by Medicare, such as deductibles, copayments, and certain medical supplies. This can provide valuable financial support during your retirement years.

In summary, while HSA withdrawals after age 65 are subject to income taxes if not used for qualified medical expenses, the tax advantages of an HSA can still make it a valuable tool for managing healthcare costs in retirement.


When considering the use of your Health Savings Account (HSA) after reaching age 65, it's crucial to understand the tax implications of your withdrawals. Withdrawing funds from your HSA for non-medical expenses won't incur a penalty, but remember that the withdrawals will be classified as taxable income.

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