Is HSA Tax Free or Tax Deferred? Understanding the Basics of Health Savings Accounts

Health Savings Accounts (HSAs) are a popular financial tool that offer individuals a way to save for medical expenses while enjoying tax benefits. When it comes to taxes, understanding whether HSAs are tax free or tax deferred is essential for maximizing the benefits of these accounts.

So, are HSAs tax free or tax deferred? The answer is that HSAs are actually both!

Here's a breakdown of how HSAs work in terms of taxes:

  • Contributions to an HSA are tax deductible, meaning that the money you put into the account is not subject to federal income tax.
  • Any interest or investment gains you earn within the HSA are tax free, allowing your savings to grow faster compared to a traditional savings account.
  • Withdrawals used for qualified medical expenses are also tax free. This means that as long as you use the funds for eligible healthcare costs, you won't pay taxes on the money you withdraw.
  • If you withdraw funds for non-medical expenses before the age of 65, the amount will be subject to income tax plus a 20% penalty. However, after the age of 65, you can withdraw funds for any purpose penalty-free, though income tax would still apply if not used for medical costs.

By understanding that HSAs offer both tax-free contributions and tax-free withdrawals for medical expenses, individuals can take advantage of the unique benefits that these accounts provide.


Health Savings Accounts (HSAs) provide a unique blend of tax advantages, making them an essential tool for anyone looking to manage medical expenses effectively. Understanding the tax implications of HSAs is not just important; it's crucial for making the most out of your savings.

So, how do HSAs stand in terms of tax treatment? They are both tax free and tax deferred, which is excellent news for savers!

Let’s delve deeper into the details:

  • When you contribute to an HSA, those contributions are tax deductible. This means you can reduce your taxable income for the year based on your contributions.
  • Any interest or investment gains accrued in your HSA are also tax free, providing an accelerated path toward growth compared to regular savings accounts.
  • Withdrawals made for qualified medical expenses are entirely tax free. Utilize your HSA for eligible healthcare costs, and you won’t owe any taxes on the funds you have taken out.
  • Be cautious if you opt to withdraw funds for non-medical purposes before reaching 65 years of age, as you’ll incur income tax and a hefty 20% penalty. However, reaching 65 opens the option to withdraw funds for any expenditure without facing a penalty, although do take into account that income tax will still apply unless it’s used for qualified medical expenses.

By grasping the nuances of HSAs as both tax-free and tax-deferred vehicles, individuals can optimize their financial planning for healthcare.

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