Are HSA benefits taxable after age 65?

Asked by: Estelle Heller  |  Last update: January 17, 2026
Score: 4.2/5 (66 votes)

Plus, after you reach age 65, you can even use your HSA to pay for expenses beyond healthcare. You will need to pay regular federal income taxes on those non-qualified withdrawals, but the 20% additional tax (see No. 6) no longer applies.

What happens to my HSA after I turn 65?

Once you turn 65, you can use the money in your HSA for anything you want. If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA.

At what age can funds be withdrawn from an HSA without tax penalty?

The HSA withdrawal rules change a bit when you turn 65. At that point, you can withdraw funds from your HSA without an extra penalty. That's true even if you use the funds for something other than a qualified medical expense.

Is HSA exempt from Social Security tax?

Although both HSA and 401(k) contributions are exempt from income taxes, only HSA contributions have the added benefit of being exempt from Social Security and Medicare (FICA) taxes, thus generating an additional immediate tax savings.

Does HSA count as taxable income?

Contributions to an HSA are excludable from income and employment taxes if made by the employer. Earnings on amounts in HSAs are not taxable.

Health Savings Account (HSA) Withdrawal After Age 65 in Retirement - Tax Free!

39 related questions found

Are HSA beneficiaries taxable income?

If the beneficiary is a surviving spouse, the unused portion of the decedent's HSA passes directly to the spouse and becomes his or her HSA; there is no tax liability. If the beneficiary is not the surviving spouse, the proceeds that pass to the beneficiary are taxed to the beneficiary as ordinary income.

What is the tax loophole for HSA?

HSA Tax Advantages

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

Is HSA tax-free after retirement?

Can my HSA be used for anything other than qualified health care expenses? One benefit of the HSA is that after you turn age 65, you can withdraw money from your HSA for any reason without incurring a tax penalty. You are, however, subject to normal income tax on any non-qualified withdrawals.

Do I need to report HSA on taxes?

Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA. You must file IRS Form 1040 for your HSA contributions, not the short Form 1040A or 1040EZ.

How do I avoid tax on my HSA?

Once you turn 65, you can withdraw money from your HSA for any reason without penalty. But for the distribution to be tax- and penalty-free, it must be used for qualified medical expenses. If you use the funds for other purposes, the amount withdrawn will be subject to regular income taxes.

At what age are HSA funds taxable?

You can take tax-free distributions for qualified medical expenses for you, your spouse and any dependents at any time, including after age 65.

What is the 6 month rule for Medicare and HSA?

If you have a Health Savings Account (HSA), you and your employer should stop contributing to your HSA 6 months before you retire or apply for benefits from Social Security (or the Railroad Retirement Board). This will ensure you avoid a tax penalty.

What happens to unused HSA funds at retirement?

After you turn 65 that 20% penalty no longer applies, allowing you to use your HSA funds however you want. You'll still pay income tax, which is similar to how a traditional IRA works when withdrawing money. Using your HSA funds for medical expenses after age 65 will still be eligible as tax-free.

Is there a penalty for HSA withdrawal after 65?

If you withdraw money from your HSA for something other than qualified medical expenses before you turn 65, you have to pay income tax plus a 20% penalty. But after you turn 65, that 20% penalty no longer applies and you only pay income tax!

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

At what age can you no longer have an HSA?

When you turn 65 and begin Medicare coverage, you lose HSA eligibility on the first day of that month. For example, if your birthday is April 19, you are no longer eligible to contribute to an HSA as of April 1.

What is the 12 month rule for HSA?

It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.

How do I reduce my taxable income?

8 ways to potentially lower your taxes
  1. Plan throughout the year for taxes.
  2. Contribute to your retirement accounts.
  3. Contribute to your HSA.
  4. If you're older than 70.5 years, consider a QCD.
  5. If you're itemizing, maximize deductions.
  6. Look for opportunities to leverage available tax credits.
  7. Consider tax-loss harvesting.

Do you pay taxes on HSA withdrawals?

So long as the money is used for qualified expenses, An HSA withdrawal (HSA distribution) is not taxed or penalized. One distinct advantage with an HSA is that you own the account – just like a checking or savings account.

Can I transfer money from my HSA to my bank account?

Online Transfers – On HSA Bank's member website, you can reimburse yourself for out-of-pocket expenses by making a one-time or reoccurring online transfer from your HSA to your personal checking or savings account.

Can I use my HSA to pay for health insurance premiums?

By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs. HSA funds generally may not be used to pay premiums.

Do you have to put HSA on tax return?

You must always file a Form 8889 in any year you or an employer contributes money to your HSA or you make withdrawals from the account. The deduction you calculate on Form 8889 is taken on the first page of your income tax return.

Are HSA distributions taxable after age 65?

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

Can I leave my HSA off my taxes?

You can claim a tax deduction for contributions you, or someone other than your employer, make to your HSA even if you don't itemize your deductions on Schedule A (Form 1040). Contributions to your HSA made by your employer (including contributions made through a cafeteria plan) may be excluded from your gross income.

How do I report HSA contributions on my tax return?

File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.