Can you withdraw from an HSA after a certain age?

Asked by: Zaria Ryan  |  Last update: September 18, 2025
Score: 4.7/5 (53 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.

At what age can you withdraw 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 cash out an old HSA account?

As a practical matter, you are allowed to withdraw funds from your HSA at any time for any reason. But if you aren't using the funds to cover a qualified medical expense, then you'll be stuck paying a penalty tax.

Can I use my HSA money for anything after age 65?

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.

What is the tax rate 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 From Your HSA Tax Free

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Can you withdraw from HSA after 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.

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.

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 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).

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.

Can I move money out of 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 HSA be used for dental?

Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.

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.

How to pull money out of HSA?

If you want to withdraw from one HSA to fund another you would initiate one of two things: a rollover or a transfer. If you choose a rollover, the original HSA provider physically sends you a check or electronically transfers the funds to you.

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 average HSA balance?

What Is the Average HSA Balance By Age? The average HSA balance for a family is about $7,500 and for individuals it is about $4,300. This average jumps up to $12,000 for families who invest in HSAs. Here's a breakdown of the average HSA balance by age.

Do I ever lose my HSA money?

Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.

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).

Can you go negative in your HSA account?

The IRS states that having a negative HSA balance is prohibited by federal law. And while the IRS doesn't provide any specific guidance beyond that statement, you need to be sure that no expenses cause your HSA to fall into a negative balance. Long story short—don't overdraw your HSA.

What happens if I withdraw from my HSA 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.

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.

What is the 6 month rule for HSA contributions?

This is because when you enroll in Medicare Part A, you receive up to six months of retroactive coverage, not going back farther than your initial month of eligibility. If you do not stop HSA contributions at least six months before Medicare enrollment, you may incur a tax penalty.

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.

Does the IRS check your HSA?

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.

Is an HSA worth it?

One of the biggest advantages of an HSA is that it offers a triple tax advantage, which means: Contributions to an HSA are federally tax-deductible, reducing your taxable income. Depending on where you live, you may also get a break on state income taxes. Assets in an HSA can potentially grow federal tax-free.