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What Happens If I Use My HSA for Ineligible Expenses?

Published June 30, 2024

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Short answer: If you use your HSA for non-eligible expenses, the IRS treats it as a non-qualified distribution, taxing it at your income tax rate and potentially adding a 20% penalty unless you qualify for an exemption.

IRS treatment of ineligible HSA spending

Many people wonder what will happen if they use their Health Savings Account (HSA) for expenses that are not considered eligible by the IRS. It's important to understand the rules and consequences to avoid any financial penalties or tax implications.

When you use your HSA for ineligible expenses, the IRS will consider it a non-qualified distribution. Here's what happens:

Taxes, 20% penalty, and recordkeeping

  • Taxed Amount: The amount you use for non-eligible expenses will be taxed at your income tax rate. This means you will lose the tax advantages of using an HSA for qualified medical costs.
  • Penalty: In addition to the taxes, you may also face a 20% penalty on the non-qualified distribution unless you are over 65, disabled, or have passed away.
  • Documentation: It's crucial to keep accurate records of your HSA expenses to prove that the withdrawals were used for qualified medical costs in case of an IRS audit.

Using your Health Savings Account (HSA) for ineligible expenses can lead to severe financial implications. Not only will the amount be taxed as income, but you may also incur a hefty penalty of 20% unless you fall into specific exemptions.

Tips to avoid repercussions and confirm eligibility

It's essential to use your HSA funds wisely to avoid financial repercussions. Make sure to consult with a financial advisor or HSA administrator if you are unsure about what expenses are considered eligible.

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