Do You Pay FICA on HSA Contributions? Understanding the Basics of HSA Taxation

Health Savings Accounts (HSAs) have gained popularity in recent years as a way for individuals to save for medical expenses while enjoying certain tax benefits. One common question that often arises is whether or not you need to pay FICA (Federal Insurance Contributions Act) taxes on HSA contributions.

It's important to note that HSA contributions are typically not subject to FICA taxes. Here's a breakdown of how HSA contributions are taxed:

  • HSA contributions are made on a pre-tax basis, meaning that the money you contribute to your HSA is deducted from your gross income before taxes are calculated.
  • Employer contributions to your HSA are also excluded from your gross income and not subject to FICA taxes.
  • Interest or investment earnings on your HSA funds grow tax-free as long as the money is used for qualified medical expenses.
  • Withdrawals used for non-qualified expenses are subject to income tax and an additional 20% penalty.

Overall, HSAs offer a tax-advantaged way to save for medical expenses both now and in the future. By understanding how HSA contributions are taxed, you can make informed decisions about your healthcare savings strategy.


Health Savings Accounts (HSAs) are not just popular for their tax benefits; they also empower individuals to take control of their health-related expenses. Importantly, your HSA contributions aren’t subject to FICA taxes, which means you can save more.

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