Is my HSA card a credit card?

Asked by: Juston Roberts  |  Last update: October 1, 2025
Score: 4.7/5 (47 votes)

HSA debit card: Whether it's at the doctor's office, the store, or online, you'll be using your HSA debit card just like you'd be using your regular debit card. When you use it to pay for an expense, the money will be withdrawn directly from your HSA.

Can I use my HSA card to buy groceries?

No, you can't use your Flexible Spending Account (FSA) or Health Savings Account (HSA) for straight food purchases like meat, produce and dairy. But you can use them for some nutrition-related products and services. To review, tax-advantaged accounts have regulatory restrictions on eligible products and services.

Can I cash out my HSA?

Yes, you can withdraw funds from your HSA at any time. But please keep in mind that if you use your HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

Can I use my HSA card for regular purchases?

It's your money, so using your HSA for non-medical expenses is an option. But what happens if you use your HSA for non-medical expenses? Here's what to consider. Any withdrawn funds that are not used for eligible medical expenses are included in gross income and may be subjected to taxation.

Can I use my HSA card to pay bills?

An HSA is similar to a normal checking account. You can make deposits into your account, then pay for eligible medical with your HSA Debit Card, pay bills online, or even make transfers.

What Can the HSA Debit Card Buy? (What Can You Purchase with HSA Funds?)

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Can I run my HSA card as credit?

In order for your card to work, you must have the balance available in your HSA; no overdraft is available. Please note: The card will not work at ATMs and will only work at appropriate medical facilities. The card should always be run as 'credit' and no PIN is required.

What happens if I accidentally use my HSA card for non-medical expenses?

You can repay the incorrect distribution before filing your federal taxes for that tax year. However, if you do not correct the mistake, the unqualified amount will be subject to income tax, and you may also face an additional 20% tax penalty.

What if I accidentally bought food on my HSA?

Yes, you read that correctly—even if you accidentally paid for a burger with your HSA debit card, you will have to report it on your annual income tax return and pay taxes on it. If you're under 65 and spend the money on unqualified purchases, you must also pay a 20% penalty on top of the income tax.

Do I use my HSA card like a debit card?

Is this card like my other debit cards? No. Your HSA card can only be used for eligible expenses at specific healthcare-related service providers or merchants where you can purchase healthcare goods or services. Your HSA card has no cash access.

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.

Can I transfer money from my HSA to my checking 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.

What ATM can I use my HSA card at?

Associated Bank ATMs are always fee-free. Can I use my HSA debit card at an ATM? Yes, you can use your Associated Bank HSA Debit Mastercard® to withdraw cash to pay for eligible expenses or reimburse yourself for expenses you have already paid. Associated Bank ATMs are always fee-free.

What happens to money in HSA if not used?

Unspent HSA funds roll over from year to year. You can hold and add to the tax-free savings to pay for medical care later. HSAs may earn interest that can't be taxed.

What can I not use my HSA card for?

Generally, you can't use your HSA to pay for expenses that don't meaningfully promote the proper function of the body or prevent or treat illness or disease. Nutritional supplements and weight loss programs not prescribed by a physician are examples of expenses that would not be covered by your HSA.

Can my HSA pay for my gym membership?

Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.

How to cash out a HSA account?

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.

How much should I put in my HSA per paycheck?

You can start small, perhaps setting aside $25 to $50 per paycheck. Consider also trying to cut back on non-essential spending, such as foregoing one of your app subscriptions, reducing meals out or making your morning cup at home versus going to a coffee shop.

Can I buy deodorant with HSA?

Deodorant reimbursement is not eligible with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Do I have to report my health savings account on taxes?

HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.

What happens if I use my HSA debit card for non-medical expenses?

Unfortunately, you can't just let mistakes like this slide. You can be charged a 20% penalty if you use your HSA funds to pay for a non-qualified medical expense, which would have been $70 in my case (not to mention traditional income taxes would apply, too).

What are the most common mistakes for HSA?

Common HSA mistakes and how to avoid them
  • Using an HSA when you're not eligible. ...
  • Paying for ineligible expenses. ...
  • Contributing too much to your account. ...
  • Paying someone else's medical bills. ...
  • Using all of your funds. ...
  • Using both an HSA and FSA. ...
  • Stay ahead of mistakes with HSA Store.

Can I buy tampons with HSA?

Yes! Thanks to the CARES Act, tampons are now considered a “medical expense.” That means you can use pre-tax income to pay for them through your HSA. More questions about tampons?

What triggers an HSA audit?

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.

Can I use my HSA debit card at Walmart?

Walmart. Browse products that you can purchase online or in store using your HSA or FSA card.

Why is my HSA card being declined when I have money?

Card declines can occur because funds have expired, new cards have been issued, the card does not have sufficient funds or various other reasons. You typically find the contact information for your plan administrator on the back of your FSA/HSA card.