Should I File My HSA on My Taxes? Understanding HSA Tax Implications

When it comes to taxes, navigating through all the rules and regulations can be overwhelming. If you have a Health Savings Account (HSA), you might be wondering whether you should include it in your tax filings. Here’s a comprehensive guide to help you understand the tax implications of your HSA.

First and foremost, it’s essential to know that contributions to your HSA are tax-deductible. This means that the money you put into your HSA is deducted from your taxable income, lowering the amount of taxes you owe. Not only do you get tax benefits when you contribute to your HSA, but the funds also grow tax-free.

Now, let’s dive into whether you should include your HSA on your tax return:

  • When you contribute to your HSA through pre-tax payroll deductions, those contributions are not included in your taxable income. Your employer will report these contributions in Box 12 of your W-2 form, indicating that they have already been excluded from your taxable income.
  • If you make post-tax contributions to your HSA, you can deduct those contributions on your tax return, even if you don’t itemize deductions. These deductions are reported on Form 8889 when you file your taxes.
  • Any interest or investment gains you earn on your HSA funds are tax-free as long as you use the money for qualified medical expenses.
  • When you withdraw money from your HSA for non-medical expenses, you will be subject to income tax and potentially a 20% penalty if you are under 65 years old. However, once you reach 65, you can withdraw funds for any reason without penalty, though you will pay income tax if the funds are not used for qualified medical expenses.

As you can see, understanding the tax implications of your HSA is crucial for maximizing its benefits. Consult with a tax professional or financial advisor to ensure you are making informed decisions regarding your HSA contributions and withdrawals.


Understanding whether to include your Health Savings Account (HSA) on your taxes can feel daunting, but grasping the key points will simplify the process. Remember, contributions to your HSA lower your taxable income - a fantastic perk that can enhance your financial health.

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