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

Published April 27, 2023

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Short answer: You generally don't pay taxes on HSA withdrawals if they’re used for qualified medical expenses; non-medical withdrawals before 65 face income tax and a 20% penalty, while after 65 non-medical withdrawals face income tax but no penalty.

When HSA withdrawals are tax-free

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:

Rules for qualified versus non-medical 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.

Keeping records to avoid tax issues

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.

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