Understanding the Tax Rules for Withdrawing From an HSA

Health Savings Accounts (HSAs) are a valuable tool for saving money on healthcare expenses while gaining tax advantages. However, it's important to understand the tax rules when it comes to withdrawing from an HSA.

When it comes to withdrawing funds from an HSA, there are specific guidelines you need to follow to ensure you don't incur any penalties or taxes:

  • For qualified medical expenses:
    • Withdrawals used for qualifying medical expenses are tax-free.
    • Qualified expenses include a wide range of medical services, prescriptions, and other eligible costs.
  • For non-qualified expenses:
    • Withdrawals used for non-qualified expenses are subject to income tax and may incur a 20% penalty.
    • Non-qualified expenses include things like cosmetic procedures, general health items, and other ineligible costs.
  • After age 65:
    • If you withdraw funds for non-medical expenses after turning 65, you will only be subject to income tax without any penalty.

    It's crucial to keep accurate records of your HSA withdrawals and expenses to ensure compliance with IRS regulations. Additionally, consulting a tax professional can provide further guidance on navigating the tax implications of HSA withdrawals.


    Understanding the tax rules associated with withdrawing from your Health Savings Account (HSA) is essential for making the most of your healthcare savings. HSAs not only help you save money for medical expenses but also provide significant tax benefits.

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