Are HSA Accounts Taxed in Spain? A Comprehensive Guide

Health Savings Accounts (HSAs) have become increasingly popular in the United States as a way to save for medical expenses while taking advantage of tax benefits. However, if you are a U.S. expat living in Spain or a Spanish citizen wondering about the tax implications of an HSA, you may have some questions. Let's delve into whether HSA accounts are taxed in Spain.

Unlike the U.S., Spain does not recognize HSA accounts as tax-advantaged savings vehicles. This means that contributions to your HSA are not tax-deductible in Spain, and any interest or investment gains in the account may be subject to taxation. Additionally, withdrawals from an HSA may be treated as ordinary income and could be subject to Spanish income tax.

It's essential to consult with a tax professional or financial advisor who is familiar with both U.S. and Spanish tax laws to understand the implications of maintaining an HSA while living in Spain. They can help you navigate the complexities of cross-border taxation and ensure that you remain compliant with all tax obligations.


Health Savings Accounts (HSAs) are primarily known for their tax advantages in the United States, allowing individuals to save for healthcare costs effectively. However, if you find yourself living in Spain, understanding the tax treatment of HSAs becomes crucial. Unlike the U.S. tax system, Spanish tax law does not recognize HSAs as special savings accounts, meaning contributions won't earn any tax deductions.

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