At what age can you withdraw from HSA without penalty?

Asked by: Mr. Taylor Brakus MD  |  Last update: May 10, 2025
Score: 4.1/5 (17 votes)

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.

At what age can you use HSA money for anything?

HSAs may earn interest that can't be taxed. You generally can't use HSA funds to pay premiums. Once you turn 65, you can use the money in your HSA for anything you want.

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!

How to withdraw money from HSA without penalty?

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.

Can I withdraw from HSA after 55?

Making an HSA withdrawal before age 65. If you're under the age of 65, you can withdraw money from your HSA (i.e. take a distribution) to pay for qualified medical expenses. If you use your HSA contributions to pay for anything else, you will have to pay income taxes on the withdrawn amount as well as a 20% penalty.

When Can I Withdraw HSA Funds Without Penalty? - InsuranceGuide360.com

19 related questions found

Is HSA tax-free after 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.

How to avoid HSA penalty?

The bottom line

If you contribute too much money to your health savings account (HSA), you may face additional taxes and penalties. But you can avoid a tax penalty by withdrawing the total amount of excess contributions from your HSA before the tax deadline.

At what age can you no longer contribute to an HSA?

There is a six-month lookback period (but not before the month of reaching age 65) when enrolling in Medicare after age 65, so a best practice is for workers to stop contributing to their HSA six months before the month they apply for Medicare to avoid penalties.

Can I cash out my HSA when I leave my job?

Yes, you can cash out your HSA at any time. However, any funds withdrawn for costs other than qualified medical expenses will result in the IRS imposing a 20% tax penalty. If you leave your job, you don't have to cash out your HSA.

Does IRS audit HSA withdrawals?

Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.

Do you get taxed on HSA withdrawals?

Any withdrawal for a non-medical purpose is taxed as regular income. On top of that, there's a 20 % tax on the amount withdrawn. 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.

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 if I accidentally used my HSA card for groceries?

If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.

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).

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.

Can I use HSA to pay Medicare premiums?

You can even use your HSA to pay for some Medicare expenses including your Medicare Part B, Part D and Medicare Advantage plan premiums, deductibles, copays and coinsurance. Note: HSA funds cannot be used to pay for Medigap premiums.

What happens to HSA if you retire?

What happens to my HSA if I change health plans, terminate employment, or retire? The money in the HSA belongs to you. You can continue to use the money in your HSA to pay for qualified medical expenses but you can no longer make contributions to the account unless you are enrolled in another HSA-eligible HDHP.

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.

Can I use HSA to pay 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.

When can you take money out of HSA without penalty?

One significant perk of an HSA is that once you reach age 65, you can take an HSA distribution for any expense without penalty. The only caveat is that the withdrawal will be taxed like regular income.

What is the HSA account loophole?

The ultimate loophole available to almost everyone under the age of 65 in our tax code is the Health Savings Account (HSA). It is the only account you can contribute to and deduct the contribution and then withdraw the money tax free. Think about that, a tax deduction going in and no taxes going out.

How much should I have in my HSA at retirement?

The amount of money you should have in your HSA during retirement depends on your healthcare needs and circumstances. According to the Fidelity Retiree Health Care Cost Estimate, a single person who is age 65 in 2023 should aim to have about $157,000 saved (after tax) for healthcare expenses during retirement.

Can I withdraw money from my HSA after age 65?

At age 65, you can withdraw your HSA funds for non-qualified expenses at any time although they are subject to regular income tax. You can avoid paying taxes by continuing to use the funds for qualified medical expenses.

How does IRS know what you spend HSA on?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

Is HSA better than 401k?

Comparing HSAs and 401(k)s

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).