How to Treat Interest Earned on HSA Accounts for Tax Purposes

When it comes to managing your HSA (Health Savings Account), one important aspect to consider is the interest earned on the account and how it is treated for tax purposes. Understanding the tax implications of the interest earned can help you make informed decisions about your HSA. So, how exactly should you treat the interest earned on your HSA accounts for tax purposes?

First and foremost, it's essential to know that the interest earned on your HSA account is tax-free as long as the funds remain in the account and are used for qualified medical expenses. This tax advantage makes HSAs a valuable savings tool for healthcare costs.

However, if you decide to withdraw the interest earned for non-medical expenses, it will be subject to income tax and may incur a penalty if you are under the age of 65. To treat the interest earned on your HSA accounts correctly for tax purposes, follow these guidelines:

  • Use the interest for qualified medical expenses to maintain its tax-free status.
  • If you withdraw the interest for non-medical expenses, report it as income on your tax return and include it in your gross income.
  • Keep accurate records of all HSA transactions, including interest earned and withdrawals, to easily track and report them during tax season.

In summary, the interest earned on your HSA accounts is tax-free when used for qualified medical expenses, providing a valuable tax advantage. However, withdrawing the interest for non-medical expenses will result in income tax implications. By understanding how to treat the interest earned on your HSA accounts for tax purposes, you can make the most of this savings account while staying compliant with tax regulations.


Managing your HSA (Health Savings Account) effectively includes understanding the tax implications of interest earned. This interest is not only a key factor in growing your savings but can also significantly impact your tax situation.

The great news is that as long as you use the interest earned on your HSA for qualified medical expenses, it remains completely tax-free. This tax advantage is one of the standout features of HSAs.

Yet, withdrawing interest for non-medical reasons can lead to unwanted consequences, including income tax liabilities and penalties if you’re under 65. Here’s how to manage your HSA interest correctly:

  • Always use interest earned for qualified medical expenses to keep it tax-exempt.
  • If you take out the interest for non-medical usage, ensure to report it as income on your tax return.
  • Maintain detailed records of your HSA transactions, including any interest earned, to make reporting easier come tax season.

Overall, leveraging the tax-free status of interest within your HSA for qualified medical expenses can yield significant savings. Avoid withdrawal for non-medical expenses to prevent any taxable income.

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