Do You Include Medical Bills Paid with HSA on Taxes? Everything You Need to Know

When it comes to health savings accounts (HSAs), many people wonder if they need to include the medical bills paid using their HSA on their taxes. The good news is that HSA funds used for qualified medical expenses are tax-free, which means you do not need to include these expenses on your tax return.

Here are some key points to keep in mind:

  • HSA contributions are tax-deductible, reducing your taxable income.
  • Withdrawals for qualified medical expenses are tax-free.
  • If you use HSA funds for non-qualified expenses, you will have to pay taxes on the amount withdrawn as well as a penalty.
  • It's essential to keep accurate records of your HSA transactions and expenses to ensure compliance with tax regulations.

In summary, medical bills paid with HSA funds do not need to be included on your taxes as long as they are for qualified medical expenses. Remember to consult a tax professional or financial advisor for specific advice related to your situation.


Many individuals ask whether they should include medical expenses paid with their Health Savings Account (HSA) when filing taxes. Fortunately, the IRS allows you to use HSA funds for qualified medical expenses without incurring any tax penalties, meaning these amounts do not need to be reported on your tax return.

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