How Do HSAs Work with Taxes? - A Comprehensive Guide

Health Savings Accounts (HSAs) are a valuable tool that can help individuals save money for medical expenses while also providing tax advantages. Understanding how HSAs work with taxes is crucial for maximizing the benefits they offer.

When it comes to taxes, here is how HSAs work:

  • Contributions to an HSA are tax-deductible: Any contributions you make to your HSA are tax-deductible, meaning you can reduce your taxable income by the amount you contribute.
  • Tax-free growth: The money in your HSA grows tax-free, allowing you to build a savings cushion for future medical expenses without worrying about taxes eating into your earnings.
  • Tax-free withdrawals for qualified medical expenses: When you use the funds in your HSA for eligible medical expenses, the withdrawals are tax-free. This includes a wide range of medical costs, from doctor's visits to prescription medications and even certain over-the-counter items.
  • No taxes on rollovers or transfers: If you switch HSA providers or have funds left over at the end of the year, you can rollover or transfer the money without incurring any tax penalties.
  • Penalty for non-medical withdrawals: If you withdraw funds from your HSA for non-qualified expenses before age 65, you will be subject to a 20% penalty in addition to regular income taxes. After age 65, you can withdraw funds for non-medical expenses penalty-free, but you will still owe income tax.

By understanding how HSAs work with taxes, you can make informed decisions about saving for healthcare costs and maximizing your tax advantages. Consult with a financial advisor or tax professional to ensure you are taking full advantage of the benefits HSAs offer.


Health Savings Accounts (HSAs) not only help you put money aside for healthcare costs, but they also play a big role in your overall tax strategy. The best part? Your contributions to HSAs are tax-deductible, allowing you to reduce your taxable income by the total amount you deposit each year.

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