What happens if you don't use all of your HSA?

Asked by: Jeramie Predovic MD  |  Last update: December 12, 2023
Score: 4.2/5 (65 votes)

If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

Do you have to use all HSA funds?

For 2022, if you have an HDHP, you can contribute up to $3,650 for self-only coverage and up to $7,300 for family coverage into an HSA. HSA funds roll over year to year if you don't spend them.

Can I empty 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.

Why shouldn't I max out my HSA?

You won't get much benefit from maxing it out if it's nothing more than a basic savings account because the money isn't being invested and earning better returns.

Is it smart to max out your HSA?

Max out your contributions if you can

The more you can contribute, the more you can benefit from the HSA's potential triple tax advantages1. Keep in mind: you don't lose any unspent funds at the end of the year. Your HSA can be used now, next year or even when you're retired.

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

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Can I overspend on my HSA card?

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 can I do with HSA money?

You can use HSA funds to pay for deductibles, copayments, coinsurance, and other qualified medical expenses. Withdrawals to pay eligible medical expenses are tax-free. Unspent HSA funds roll over from year to year, allowing you to build tax-free savings to pay for medical care later.

Does IRS audit HSA withdrawals?

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.

When can I take out HSA money without penalty?

One significant perk of an HSA is that once you reach age 65, you can take an HSA distribution for any expense without penalty. The only caveat is that the withdrawal will be taxed like regular income.

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.

How long can you leave money in an HSA?

All of the money in an HSA (including any contributions deposited by an employer) is owned by the employee even if they leave their job, lose their qualifying coverage or retire. The money in an HSA never expires. Unlike flexible spending accounts (FSAs), all remaining HSA funds roll over each year.

Can I withdraw money from my HSA card at an ATM?

Your HSA Bank Health Benefits Debit Card provides access to your HSA funds at point-of-sale with signature or PIN and at ATMs for withdrawals.

Does HSA require receipts?

Recordkeeping Requirements

Good recordkeeping avoids future tax headaches. Essentially, any money that comes out of your HSA must have a receipt showing it was for an eligible medical expense. You may face a 20% penalty on any distribution that you cannot prove was for a qualified medical expense.

What are red flags for the IRS?

Some red flags for an audit are round numbers, missing income, excessive deductions or credits, unreported income and refundable tax credits. The best defense is proper documentation and receipts, tax experts say.

Who gets audited by IRS the most?

Who gets audited by the IRS the most? In terms of income levels, the IRS in recent years has audited taxpayers with incomes below $25,000 and above $500,000 at higher-than-average rates, according to government data.

Can you 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.

Can you use HSA for non medical?

Non-medical expenses

The funds in an HSA can be used for general non-medical purposes, without penalty, once the employee reaches age 65. However, any withdrawn funds used for non-medical purposes are still subject to income tax.

Can you buy sunscreen with HSA?

Sunscreen: HSA Eligibility. Sunscreen is eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), and health reimbursement accounts (HRA). They are not eligible for reimbursement with dependent care flexible spending accounts and limited-purpose flexible spending accounts (LPFSA) ...

What is the shoebox rule for HSA?

The shoebox strategy is a long-term savings strategy for hacking your HSA's tax advantages. Instead of using your HSA to reimburse yourself immediately after incurring an eligible medical expense, you wait to reimburse yourself (and lessen the burden of your tax bill since withdrawals are tax-free).

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.

Do you have to report HSA to IRS?

You must file Form 8889 if any of the following applies. You (or someone on your behalf, including your employer) made contributions for 2022 to your HSA. You received HSA distributions in 2022. You must include certain amounts in income because you failed to be an eligible individual during the testing period.

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 you use HSA card at Walmart?

Does Walmart.com accept FSA or HSA cards? If you are looking to use your FSA or HSA card online or in-store on FSA-eligible product, you will likely have a hard time depending on your card issuer. That is because Walmart.com does not accept FSA or HSA cards at this time. This is listed in their FSA & HSA Shop FAQ.

Can I use my health equity card for gas?

Your HSA card will draw available funds directly from your HSA. Your card can be used everywhere Visa debit cards are accepted for qualified expenses. This card cannot be used at ATMs and you cannot get cash back, and cannot be used at gas stations, restaurants, or other establishments not health related.

Can you use HSA to pay for Botox?

Botox: HSA Eligibility

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