HSA Shop logoHSA Shop

HSA Guide

Understanding How HSA Works with Taxes

Published August 20, 2023

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

Get the app
Short answer: You can use an HSA to pay qualified medical expenses tax-free, while contributions are tax-deductible and non-qualified withdrawals are subject to income tax and, if under 65, a 20% penalty.

Tax treatment of HSA contributions and growth

Health Savings Accounts (HSAs) are a tax-advantaged way for individuals to save money for medical expenses. When it comes to understanding how HSAs work with taxes, there are a few key points to keep in mind.

First and foremost, contributions made to an HSA are tax-deductible. This means that the money you put into your HSA is deducted from your taxable income, lowering your overall tax bill. Additionally, any interest or investment earnings that accumulate in your HSA are tax-free.

Tax-free HSA withdrawals for medical expenses

When you use funds from your HSA to pay for qualified medical expenses, withdrawals are also tax-free. This allows you to use your HSA funds without incurring any additional tax liability.

Keeping track of your HSA contributions, withdrawals, and expenses is crucial for tax purposes. Be sure to maintain accurate records and receipts to substantiate any withdrawals and ensure compliance with tax regulations.

Health Savings Accounts (HSAs) provide a fantastic opportunity to manage healthcare expenses while enjoying tax benefits. Contributions made to an HSA not only lower your taxable income but can also accumulate interest and investment gains, which are tax-free, making them a smart choice for financial planning.

Penalties and recordkeeping for non-qualified use

It's important to note that if you withdraw money from your HSA for non-qualified expenses, you will be subject to income tax on the amount withdrawn, as well as a 20% penalty if you are under 65 years old. After the age of 65, you can withdraw funds from your HSA for non-medical expenses without penalty, though you will still owe income tax on the amount withdrawn.

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