Is HSA Included in Federal Adjusted Gross Income?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while reducing your taxable income. But are HSA contributions included in your federal adjusted gross income? Let's delve into this common question and shed some light on how HSAs impact your taxes.

When it comes to federal taxes and adjusted gross income (AGI), HSAs hold a unique position:

  • Contributions made to your HSA are tax-deductible, meaning they lower your taxable income for the year.
  • Employer contributions to your HSA are not included in your gross income, providing a tax advantage.
  • Interest or other earnings within your HSA are also tax-free.
  • HSA withdrawals used for qualified medical expenses are tax-free, making them a tax-efficient way to cover healthcare costs.

On the flip side, there are a few things to keep in mind regarding HSAs and federal taxes:

  • If you withdraw HSA funds for non-medical expenses before age 65, you'll incur a 20% penalty, and those withdrawals will be counted as taxable income.
  • Once you reach age 65, you can withdraw HSA funds penalty-free for any expense, but non-medical withdrawals are subject to income tax.

Overall, HSAs offer a plethora of tax benefits, including their exclusion from federal AGI. By contributing to your HSA, you can lower your taxable income, save for future medical expenses, and enjoy tax-free growth within the account.


When managing your finances, understanding the implications of Health Savings Accounts (HSAs) on your federal adjusted gross income (AGI) is crucial. Fortunately, HSAs provide a unique tax advantage that can help you better prepare for medical expenses while simultaneously reducing your taxable income.

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