What Happens if You Use HSA and It Is Determined It Is Not Medical Coverage for HSA Withdrawal?

If you use your HSA (Health Savings Account) for a non-qualified medical expense and it is determined that the expense does not meet the criteria for HSA withdrawal, there are consequences you may face:

  • Tax Penalty: When you withdraw funds from your HSA for non-medical purposes, you will be subject to a tax penalty.
  • Income Tax: The withdrawn amount will also be treated as taxable income in the year it was withdrawn.
  • Reimbursement Requirement: You may be required to reimburse the HSA for the non-qualified expense.

It's important to ensure that you understand what qualifies as a medical expense for HSA withdrawals to avoid facing penalties and taxes. Keeping proper documentation of your medical expenses is crucial in case of an audit or dispute.


When using your HSA (Health Savings Account), it's crucial to be aware of the repercussions of withdrawing funds for non-qualified medical expenses. Should these expenses be deemed ineligible for HSA withdrawal, you could face some significant financial consequences.

  • Tax Penalty: Funds taken out for non-medical reasons come with a hefty tax penalty, which can be a shock to your finances.
  • Income Tax: Additionally, the amount withdrawn will be classified as taxable income in the year the withdrawal occurred, potentially pushing you into a higher tax bracket.
  • Reimbursement Requirement: You may also have to reimburse your HSA for that non-qualified transaction, adding more strain on your budget.

To steer clear of these penalties, familiarize yourself with what constitutes a qualified medical expense for HSA withdrawals and maintain meticulous records of your expenditures for peace of mind during tax season.

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