Do You Pay Tax on HSA You Don't Use?

If you have a Health Savings Account (HSA), you may wonder what happens to the funds if you don't use them. One common question is whether you have to pay taxes on the unused money in your HSA. Let's explore this topic to provide you with a better understanding.

Firstly, it's essential to know that HSAs offer tax advantages for qualified medical expenses. The money you contribute to your HSA is tax-deductible, grows tax-free, and can be withdrawn tax-free for eligible healthcare expenses. However, the tax implications related to unused funds depend on your situation:

  • If you have funds left in your HSA at the end of the year, you don't lose the money. Unlike Flexible Spending Accounts (FSAs), there is no 'use-it-or-lose-it' rule for HSAs.
  • You do not pay taxes on the unused money in your HSA. The funds remain in your account and continue to grow tax-free until you decide to use them for qualified medical expenses.
  • If you withdraw money from your HSA for non-qualified expenses before age 65, you will be subject to income taxes and may face a 20% penalty. However, once you reach age 65, you can use the funds for any purpose penalty-free, though income taxes are still applicable on withdrawals for non-qualified expenses.

It's important to be mindful of the tax implications and rules surrounding HSAs to make the most of this valuable savings tool. By understanding how HSAs work, you can maximize your healthcare savings and enjoy the tax benefits they offer.


Many people with a Health Savings Account (HSA) might be confused about their tax obligations regarding unused funds. Thankfully, understanding the facts can help clarify the benefits.

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