How Much Is the Income Tax Penalty for Borrowing from an HSA?

When it comes to Health Savings Accounts (HSAs), understanding the rules and regulations surrounding them is crucial. One common question that arises is about the income tax penalty for borrowing from an HSA.

HSAs are designed to help individuals save for medical expenses tax-free. While these accounts offer many benefits, there are specific guidelines set by the IRS that must be followed to avoid penalties.

So, how much is the income tax penalty for borrowing from an HSA? Let's dive into the details:

  • If you are under 65 and use the funds for non-qualified medical expenses, you will be subject to income tax on the amount withdrawn plus a 20% penalty.
  • After turning 65, you can use the funds for non-medical expenses without incurring the penalty, but you will have to pay income tax on the withdrawn amount.
  • It's important to keep detailed records of HSA withdrawals and their intended use to avoid any potential issues with the IRS.

Remember, an HSA is meant to be a long-term savings tool for healthcare costs, so it's best to utilize the funds for qualified medical expenses whenever possible.


Managing your Health Savings Account (HSA) requires a good grasp of its regulations, particularly around the consequences of borrowing from it. The income tax penalties can be steep if you're not aware of the rules.

HSAs are wonderful tools designed to provide tax-free savings for medical expenses, but the IRS has outlined specific conditions regarding the use of these funds. So, if you're considering withdrawing from your HSA for non-qualified expenses, here’s what you need to know:

  • If you are younger than 65 years old, tapping into your HSA for non-qualified medical expenses means you'll incur income tax on the withdrawn sum along with a hefty 20% penalty on top of that.
  • Once you reach the age of 65, the rules become more forgiving. You can access your HSA funds for non-medical purposes without facing a penalty, but be prepared to pay income tax on the money you take out.
  • It's wise to keep meticulous records of any HSA withdrawals and the purposes behind them to avoid any unwelcome surprises from the IRS.

Remember, while HSAs provide flexibility, they are designated as a long-term healthcare savings tool. The best practice is to reserve your funds for qualified medical expenses whenever possible to maximize your savings.

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