Do You Pay Taxes on the HSA When You Take It Out?

When it comes to Health Savings Accounts (HSAs), one common question that arises is whether you have to pay taxes on the funds when you withdraw them. The good news is that the answer is generally no, but there are some important details to keep in mind.

Here's why you don't have to pay taxes on your HSA withdrawals:

  • Contributions to your HSA are made with pre-tax dollars, meaning you've already received a tax benefit for that money.
  • As long as you use the funds for qualified medical expenses, you won't owe any taxes on the withdrawals.
  • Withdrawals for non-medical expenses before age 65 are subject to both income taxes and a 20% penalty.
  • After age 65, you can withdraw funds for any reason, but non-medical withdrawals will be subject to income taxes (though not the penalty).

It's important to keep careful track of your HSA withdrawals and ensure they are used for qualified medical expenses to avoid any tax implications.


When thinking about Health Savings Accounts (HSAs), a common question that often crops up is whether you need to pay taxes when you take out the money. Generally speaking, the answer is 'no,' provided you follow the rules, but let’s dive into what that means.

Here are some key points to remember:

  • HSA contributions are typically made with pre-tax income, allowing you to save on taxes already.
  • As long as your withdrawals are used strictly for qualified medical expenses, you won’t have to pay any taxes on those amounts.
  • If you make withdrawals for non-qualified expenses before turning 65, not only will you face income tax, but you'll also incur a hefty 20% penalty.
  • After you reach 65 years of age, you're allowed to use the funds for any purpose, but keep in mind that non-medical withdrawals will still be taxed as income, although you can dodge the penalty.

To avoid any unpleasant surprises come tax time, it's wise to maintain meticulous records of your HSA withdrawals, ensuring they are allocated towards qualified medical expenses.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter