What happens if you buy non HSA eligible items?

Asked by: Emery Miller  |  Last update: September 4, 2023
Score: 4.9/5 (9 votes)

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. Be very careful not to use HSA money on unqualified expenses so you don't lose a portion of your savings to taxes and penalties.

What is the penalty for non-qualified expenses in HSA?

Non-Qualified Expenses

If you take a non-qualified distribution, you are subject to ordinary income tax on the distribution and a 20% penalty tax.

What if I accidentally made a purchase 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.

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.

Do HSA purchases get audited?

It is important to keep the receipts to prove that the payment was indeed for a qualified medical expense in case of an audit. HSA spending may be subject to IRS audit. Even if HSA funds were used for qualified medical expenses, the IRS may ask for proof that the funds were spent correctly.

The Real TRUTH About An HSA - Health Savings Account Insane Benefits

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How does IRS check HSA purchases?

Is there an expense verification process like an FSA or HRA? 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 get in trouble for using HSA money?

IRS penalty and taxable income

Prior to age 65, if you use your money for non-qualified expenses, the IRS imposes a hefty HSA withdrawal penalty of 20 percent on the amount withdrawn. For example, if you spend $500 on non-qualified expenses, your penalty will be $100.

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.

Is it bad to reimburse yourself from HSA?

Reimburse yourself later. One of the major financial benefits of an HSA is that you can choose to reimburse yourself anytime. This gives you the opportunity to save the funds in your account. It also provides the opportunity to increase interest earned or provide more time for invested funds to grow.

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.

Can I use my HSA to pay for a friend's medical expenses?

The short answer is yes for certain family members, and no for friends. You can use your HSA for your spouse and your dependents, regardless of if they're covered under your high-deductible health plan (HDHP) or not. Beyond that, using your HSA for others, including your friends, is typically a no-go.

How long do you have to keep HSA receipts?

Hold onto every receipt and statement

Cheekiness aside, keep every single receipt and HSA statement like it's going out of style. You want to hold onto all those HSA records as long as your tax return is considered "open," which is about three years after you file, or as long as you have your HSA account.

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.

Do I need to report my HSA if I didn't use it?

Contributions made to your HSA by your employer may be excluded from your gross income. The contributions remain in your account until you use them. The earnings in the account aren't taxed. Distributions used to pay for qualified medical expenses are tax-free.

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 buy vitamins with HSA?

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.

How likely will I get audited?

For one thing, your chances statistically of being audited are not likely. The vast majority of more than approximately 150 million taxpayers who file yearly don't have to face it. Less than one percent of taxpayers get one sort of audit or another. Your overall odds of being audited are roughly 0.3% or 3 in 1,000.

How is HSA reported to IRS?

File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.

Can I use HSA for dental?

You can also use HSAs to help pay for dental care. While dental insurance can help cover costs, an HSA can also help cover any out-of-pocket expenses resulting from dental care and procedures.

Do I lose my HSA every year?

HSAs: The basics

What's more, unlike health flexible spending accounts (FSAs), HSAs are not subject to the "use-it-or-lose-it" rule. Funds remain in your account from year to year, and any unused funds may be used to pay for future qualified medical expenses.

Can I use my HSA for my dog?

HSA funds can't be used to pay for a normal pet's veterinary care, prescriptions, or other medical expenses. However, HSAs can be used to pay for healthcare costs for service animals, because those expenses are related to people's disabilities.

Can I pay my girlfriends medical bills with my HSA?

The only time you can use your HSA to pay for the healthcare costs of a friend is if you have named that person as a dependent on your most recent tax return (provided that they qualify under the non-relative qualifications — detailed below).

Can I use my husbands HSA card to pay my medical bills?

Of course! For one, you and your spouse can make use of an HSAs triple-tax-advantages. Since you can claim medical expenses at any time after your HSA was established, you can pay them or reimburse yourself with HSA funds from either of your accounts at any time.

Do you need itemized receipts for HSA?

For FSAs, HSAs, and some HRAs, a detailed provider receipt or itemized cash register receipt is usually sufficient, if it contains all the required information listed above.

Can I use my HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)