HSA Shop logoHSA Shop

HSA Guide

What Happens If I Use My HSA for Something Else?

Published June 30, 2024

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: If you use an HSA for non-qualified expenses, the IRS can impose a 20% tax penalty and require you to report the amount as taxable income, but you may mitigate effects by reimbursing your HSA.

IRS penalties for non-qualified HSA uses

Using your Health Savings Account (HSA) for qualified medical expenses is the primary purpose of this tax-advantaged account, but what happens if you decide to use it for something else?

When you use your HSA funds for non-qualified expenses, the Internal Revenue Service (IRS) imposes certain penalties and taxes on the amount withdrawn. If you are under 65 years old and use your HSA for non-medical expenses, you will be subject to a 20% tax penalty on the amount used for non-qualified expenses. Additionally, you will need to report this as taxable income on your annual tax return.

Recordkeeping and correcting mistaken withdrawals

It's important to keep accurate records of your HSA withdrawals and expenditures to distinguish between qualified and non-qualified expenses. If you mistakenly use your HSA for non-qualified expenses, you can correct the error by reimbursing your HSA for the amount used inappropriately, which can help mitigate the tax consequences.

Non-medical HSA spending has pitfalls

Although your Health Savings Account (HSA) is primarily designed for qualified medical expenses, using it for non-medical expenses can lead to some serious pitfalls.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles