How to Calculate Withholding Tax with HSA Income?

Calculating withholding tax on HSA income is important in understanding how taxes impact your health savings. With HSA contributions being tax-deductible and withdrawals for qualified medical expenses being tax-free, it's crucial to know how withholding tax applies to these funds.

When determining withholding tax on HSA income, follow these steps:

  1. Identify your total HSA contributions for the year, including any contributions made through payroll deductions.
  2. Determine if any of these contributions were made with pre-tax dollars.
  3. Calculate your total HSA withdrawals for the year, specifically the amount used for eligible medical expenses.
  4. Consider if any withdrawals were used for non-qualified purposes, as those may be subject to taxes and penalties.
  5. Subtract qualified medical expenses from total withdrawals to find the taxable HSA income.
  6. Use your marginal tax rate to determine the withholding tax percentage on the taxable HSA income.

It's important to remember that HSA funds used for non-medical expenses before age 65 incur both income tax and a 20% penalty. By calculating withholding tax on HSA income correctly, you can avoid any surprises come tax time.


When it comes to calculating withholding tax on your HSA income, it’s essential to grasp the nuances involved in different types of contributions. Knowing whether your contributions were made pre-tax or post-tax directly affects your tax liabilities.

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