What happens if I use my HSA card for non medical purchases?

Asked by: Briana Reichert  |  Last update: February 25, 2025
Score: 4.1/5 (57 votes)

Using Funds for Non-Medical Purposes Results in Penalties When an account holder under the age of 65 uses their health savings account's funds for non-medical expenses, they have to pay income tax on the money spent plus a 20-percent penalty.

What happens if you spend HSA for non-medical expenses?

In addition, if HSA funds are withdrawn before age 65 and not used for eligible medical expenses are generally subject to an additional 20% tax penalty. In other words, you may lose the tax benefits when you use HSA for non-medical expenses. There may also be a significant tax fee or penalty.

How does the IRS know if you use HSA for non-medical?

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.

What happens if I use my HSA card for other things?

Sure, you can swipe your HSA card anywhere, for anything, but you lose the tax benefit unless it is for qualified medical expenses. Please talk to your tax advisor first and don't take Reddit's word for it that you'll be fine because the IRS won't know.

What happens if I use my HSA for the wrong thing?

The normal process is to call your HSA plan administrator and tell them you need the form for a ``Mistaken Distribution''. The plan administrator does not have to honor this request, but if they do, then you will fill out the form and send them a check to repay the money you took out by mistake.

What Happens If I Accidentally Use My HSA Card For Non-Medical Expenses? - InsuranceGuide360.com

20 related questions found

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.

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.

Is it illegal to use HSA money for anything?

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. If you don't use it for qualified medical expenses, it counts as income when you file your taxes.

Can I use my HSA for gym membership?

Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.

Can you use HSA card for normal purchases?

If you use your HSA for an expense other than eligible medical expenses you can subject yourself to significant IRS penalties. Inappropriate use of your HSA funds may also leave you without money to pay for your eligible medical expenses in the future.

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 use my HSA card for 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.

How does HSA track purchases?

Because HSA administrators don't track the purchases employees make with their HSA, employees should make it a habit to save receipts for all HSA-eligible goods and services, so they can easily reimburse themselves when they are ready, or when they need the money.

How does the IRS know what I use my HSA for?

When you file form 8889 as part of your tax return you list the amount of the HSA distributions that you received. The IRS also gets a copy of the form 1099-S so they know how much that is. You also list the amount of that money that was used for allowable medical expenses.

What is the penalty for non medical withdrawal from HSA?

Meaning you'll owe taxes. Let's say your tax rate is 20% and you withdraw $1,000 for that new TV - you'll also have to pay back $200 in taxes! On top of the taxes above, there's ANOTHER 20% penalty for non-qualified withdrawals.

What happens if I use my HSA for Botox?

Can you use HSA funds to pay for Botox? If you're using Botox for cosmetic purposes like reducing wrinkles or fine lines, it's not considered an HSA-eligible expense. However, Botox may be HSA eligible if it's used to treat a medical condition like chronic migraines, severe muscle spasms, or overactive bladder.

What happens if I accidentally used my HSA card for groceries?

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.

Can I use HSA for vitamins?

In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.

Can HSA pay for massage?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception. If a doctor prescribes massage therapy to treat a specific medical condition–such as chronic pain, injury recovery or other ailments–then the cost of the massage may be a qualified medical expense.

What to do if you accidentally use HSA for non-medical expenses?

After you report the mistake to the custodian, the custodian reports it to the IRS. Reimburse the HSA. If you've mistakenly used HSA funds for nonqualified expenses, you must repay the distribution amount back into your HSA by the tax filing deadline for the year in which the distribution occurred.

What happens if you use HSA for something not eligible?

Prior to age 65, if you use your money for non-qualified expenses, the IRS imposes a withdrawal penalty of 20 percent on the amount withdrawn. To help you, below are some services and expenses that are not qualified: Aromatherapy. Baby: bottles, cups, formula, oil & wipes.

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).

Does IRS ask for receipts for HSA?

So, when you're doing your taxes, you'll be responsible for reporting all of your reimbursed expenses, qualified or non-qualified. If you're ever audited by the IRS, you'll need those receipts to prove that you spent the funds on qualified expenses.

Can I borrow from my HSA and pay it back?

No.

What happens if you overdraw your HSA?

Yes, an HSA can be overdrawn. There is no overdraft fee, but an HSA can be overdrawn for a variety of reasons. If your HSA does become overdrawn, it is important to resolve it quickly or your account may be closed.