Do You Pay Taxes on HSA Withdrawals After 65? Explained

As you plan for your retirement, you might be considering using a Health Savings Account (HSA) to cover medical expenses. One common question that arises is whether you will have to pay taxes on HSA withdrawals after the age of 65.

HSAs offer a tax-advantaged way to save for future medical expenses, but understanding the tax implications of withdrawals is crucial. Here's what you need to know:

Do You Pay Taxes on HSA Withdrawals After 65?

Once you turn 65, you can withdraw funds from your HSA for any purpose without facing a penalty. However, whether you pay taxes on these withdrawals depends on how you use the funds:

  • Qualified Medical Expenses: If you use the HSA funds for qualified medical expenses, the withdrawals are tax-free at any age, including after 65.
  • Non-Medical Expenses: If you use the funds for non-medical expenses, the withdrawals are subject to income tax but not the 20% penalty after the age of 65.

It's essential to keep accurate records of your HSA expenses to differentiate between medical and non-medical withdrawals for tax purposes.

Other Key Points to Note:

  • Contributions to an HSA are tax-deductible, and the account grows tax-free.
  • After 65, you can use HSA funds for Medicare premiums but not for Medigap insurance.
  • HSAs can provide tax benefits in retirement and help cover healthcare costs.

Consulting a financial advisor or tax professional can provide personalized guidance on maximizing your HSA benefits during retirement.


As you plan for retirement, utilizing a Health Savings Account (HSA) can be a wise choice for managing medical costs. Many individuals wonder if they'll encounter tax liabilities on HSA withdrawals once they reach 65 years old.

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