What happens if you accidentally pay for something with HSA?

Asked by: Susie Hodkiewicz  |  Last update: November 20, 2023
Score: 4.5/5 (75 votes)

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 if I accidentally bought something with my HSA card?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

What happens if you use HSA for non approved items?

How to fix HSA card mistakes. 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).

Can you take money out of HSA and put it back?

Yes. You can take money out any time tax-free and without penalty as long as it is used to pay for qualified medical expenses. If you take money out for other purposes, however, you will pay income taxes on the withdrawal plus a 20% tax penalty.

Does the IRS audit HSA accounts?

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. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.

What happens if I use my HSA for a nonqualified expense?

28 related questions found

Can I withdraw from my HSA for non medical expenses?

Yes. You can withdraw funds from your HSA anytime. But keep in mind that if you use 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.

Does HSA verify purchases?

Account holders are responsible for verifying eligibility of purchases. Unlike the flexible spending account (FSA), which doesn't allow the user to purchase goods or services that aren't eligible for reimbursement, an employee could literally purchase anything with their HSA dollars.

Can you use HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

What happens if I use my HSA for Botox?

Money in an FSA or HSA does not cover cosmetic treatments. If you are getting Botox for a medical indication, such as migraine headaches, then you can use the money in your HSA for Botox. But cosmetic treatments are not eligible.

Can I reimburse myself from HSA without receipt?

As long as the qualifying medical expense was made after the establishment of your HSA, you can use your HSA to pay yourself back for your out-of-pocket expense. And while it isn't required that you submit receipts to be reimbursed from your HSA, we recommend it in case of an IRS audit.

Do I have to report HSA purchases?

When filing your taxes, you are required to file IRS Form 8889 if you (or someone on your behalf, including your employer) made contributions to your HSA, or if you received HSA distributions for the year.

Can you use HSA for tummy tuck?

You can't use pre-tax funds from a health savings account (HSA) or a flexible spending account (FSA) for cosmetic surgical procedures, like a tummy tuck. However, if you have good credit, you could take out a private loan to finance your surgery.

Can you use HSA for lip fillers?

Cosmetic procedures (e.g. facelift, Botox, hair transplants, liposuction, teeth whitening) are usually ineligible, unless the procedure is necessary to improve a deformity due to a congenital abnormality, personal injury or disfiguring disease.

Can you use HSA for acne scars?

Scar treatment is eligible with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and a health reimbursement arrangement (HRA).

Can I buy a treadmill with my HSA?

A treadmill may be eligible for reimbursement with a Letter of Medical Necessity (LMN) with a flexible spending account (FSA), health savings account (HSA) and health reimbursement arrangement (HRA).

Is Apple Watch HSA eligible?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

Can I use HSA for vitamins?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

What is HSA receipt loophole?

Again, you don't have to reimburse yourself for those medical expenses in the same year, or the same plan year that you incur those medical expenses. If you incur that medical expense, you can just write it down. And then you can reimburse yourself from the HSA at a later date.

Can I buy toilet paper with my HSA card?

Toiletries are not eligible for reimbursement 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?

Always save your receipts and supporting documentation for your records. While Benefit Resource will not ask you to provide a receipt for an HSA expense, you are responsible for maintaining documentation of account use in the event that you are ever audited by the IRS.

How do I prove HSA expenses?

Hold on to any insurance carrier's Explanation of Benefits (EOB) statement that documents your expenses for services covered under your HSA-eligible health plan. Keep receipts for all other items purchased with your HSA, for example, vision and dental services.

How do I cash out my HSA?

You can submit a withdrawal request form to receive funds (cash) from your HSA. If the cash is used to pay for ineligible purchases, it must be reported when you're filing your taxes. Once it's reported, it's subject to an income tax and treated as though it had never been in your tax-free HSA.

Does HSA money expire?

Your HSA contributions don't expire. The money stays in the HSA until you use it. expenses for your spouse and dependents, even if your high deductible health plan doesn't cover them. ∎ HSA doesn't go away if job changes.

Can I use my HSA for braces?

Get ready to smile! The answer is yes. In most cases, you can use your HSA or FSA to pay for any part of your orthodontic treatment that isn't covered by your dental insurance or any other plan.

Can I use my HSA for tattoo removal?

Does insurance cover tattoo removal? No. Since tattoo removal is considered cosmetic surgery, you can't get insurance coverage or use FSA or HSA funds to pay for the procedure.