How Much Does HSA Tax for Non-Approved Items?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. However, it's essential to know the tax implications of using your HSA funds for non-approved items.

When it comes to HSA tax for non-approved items, there are specific rules that account holders need to be aware of:

  • If you use your HSA funds for non-qualified medical expenses, the withdrawn amount is subject to income tax.
  • Additionally, if you are under 65 years old, you will also incur a 20% penalty on the non-qualified expenses.

It's crucial to understand what items are considered non-approved when using your HSA funds:

  • Cosmetic procedures
  • Over-the-counter medications without a prescription
  • Gym memberships or fitness equipment

To avoid being taxed on non-approved items, always use your HSA funds for qualified medical expenses. This includes services and products that are deemed medically necessary by a healthcare professional.


Understanding the tax implications of using your Health Savings Account (HSA) for non-approved items is crucial. Know that if you misuse your HSA funds, the amount withdrawn for non-qualified medical expenses will be taxed as regular income.

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