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What Happens to HSA Leaving HD? - Understanding the Impact on Your Health Savings Account

Published July 8, 2024

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Short answer: You keep your HSA when leaving an HDHP, but you can’t contribute unless enrolled and non-qualified withdrawals before 65 incur a 20% penalty plus income tax.

Keeping and using your HSA after HDHP

When you leave an HSA-eligible high deductible health plan (HDHP), you won't lose your Health Savings Account (HSA). Your HSA is yours to keep, and you can continue to use the funds for qualified medical expenses tax-free. However, there are certain factors to consider when transitioning away from an HDHP:

It's important to understand the implications of leaving an HDHP and how it affects your HSA, but rest assured that your HSA remains intact and accessible for medical expenses.

Leaving an HSA-eligible high deductible health plan (HDHP) doesn't mean your Health Savings Account (HSA) vanishes. Your HSA remains yours, and you can access the funds anytime, keeping in mind they are still available for qualified medical expenses without any taxes involved.

Contribution and withdrawal rules when leaving

  • Contributions: You can no longer contribute to your HSA if you are not enrolled in an HDHP, but you can still use the existing funds.
  • Withdrawals: You can withdraw the funds for qualified medical expenses at any time, even if you no longer have an HDHP.
  • Tax implications: If you use the funds for non-qualified expenses before age 65, you will incur a 20% penalty in addition to income tax. After age 65, the penalty is waived, but income tax is still applicable for non-qualified withdrawals.
  • Contributions: If you're no longer enrolled in an HDHP, contributions to your HSA are no longer possible, but don't worry—your existing balance stays intact.
  • Withdrawals: The beauty of an HSA is that you can withdraw money for qualified medical expenses whenever you need to, even if your HDHP coverage has ended.
  • Tax implications: Be cautious with your withdrawals; if you use the funds for anything other than qualified expenses before age 65, you'll face a hefty 20% penalty, coupled with income taxes. After reaching 65, while the penalty disappears, you’ll still owe taxes on non-qualified withdrawals.

Why understanding the transition matters

Knowing how leaving an HDHP impacts your HSA will help you navigate your financial health better, so keep your health savings close!

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