HSA Shop logoHSA Shop

HSA Guide

Do You Pay Taxes on Withdrawal from HSA? - Understanding Tax Implications of HSA Withdrawals

Published April 27, 2023

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: HSA withdrawals used for qualified medical expenses are tax-free, but non-qualified withdrawals can trigger income tax and a 20% penalty if you’re under 65.

Tax-free vs taxable HSA withdrawals

One common question that arises when considering Health Savings Accounts (HSAs) is whether you pay taxes on withdrawals from an HSA. The good news is that HSA withdrawals used for qualified medical expenses are tax-free. However, there are some situations where taxes may apply.

When it comes to withdrawing money from your Health Savings Account (HSA), knowing the tax implications is crucial. As long as you use the funds for qualified medical expenses, these withdrawals are completely tax-free, allowing you to save money on healthcare costs.

Non-qualified withdrawals and penalties

When you withdraw funds from your HSA for non-qualified expenses, you will face taxes and potential penalties. The withdrawals will be subject to income tax, and if you are under the age of 65, you may also incur a 20% penalty. It's essential to use HSA funds only for eligible medical expenses to avoid these tax implications.

Rules after 65 and employer contributions

It's important to note that you can withdraw funds from your HSA for any reason after reaching the age of 65 without facing the 20% penalty. While the withdrawals will be taxed as income, there is no penalty for non-medical expenses after this age.

Another key point to consider is that if you contribute to your HSA with pre-tax dollars through your employer, those contributions are already tax-free. This means that when you withdraw those funds for qualified medical expenses, you are essentially using tax-free money for healthcare costs.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles