When Can You Withdraw from HSA Penalty-Free?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. However, there are specific rules governing when you can make penalty-free withdrawals from your HSA.

Here are the instances when you can withdraw from your HSA without incurring penalties:

  • Qualified Medical Expenses: You can use your HSA funds to pay for eligible medical expenses, including doctor visits, prescriptions, and medical supplies.
  • Health Insurance Premiums: You can use HSA funds to pay for health insurance premiums, such as COBRA coverage, long-term care insurance, and health coverage while receiving unemployment benefits.
  • Medicare Premiums: HSA funds can be used to pay for Medicare premiums, including Part A, Part B, Part C (Medicare Advantage), and Part D.
  • Retirement: Once you turn 65, you can withdraw funds from your HSA penalty-free for non-medical expenses. However, these withdrawals will be subject to income tax but not the 20% penalty.

It's important to note that any withdrawals for non-qualified expenses before age 65 may incur income tax plus a 20% penalty.


Health Savings Accounts (HSAs) are a powerful savings tool that not only allows you to save for qualified medical expenses but also offers significant tax advantages. Understanding when you can withdraw funds without penalties is crucial for maximizing these benefits.

Here are the key instances that allow you to make penalty-free withdrawals from your HSA:

  • Qualified Medical Expenses: HSA funds can be used for various expenses, encompassing doctor visits, prescription medications, and a wide array of medical supplies, provided they meet the IRS criteria.
  • Health Insurance Premiums: You can also use HSA dollars for specific health insurance premiums, including coverage under COBRA, long-term care insurance, or health plans while unemployed.
  • Medicare Premiums: HSA funds are applicable for paying Medicare premiums, such as those for Parts A, B, C (Medicare Advantage), and D, easing the financial burden of healthcare in retirement.
  • Retirement Withdrawals: After reaching the age of 65, you can withdraw from your HSA for non-medical expenses without facing a penalty, although these transactions will be liable for income tax.

Remember, if you withdraw for non-qualified expenses before age 65, you may be subject to a hefty 20% penalty plus regular income tax, which is something to keep in mind as you manage your HSA.

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