What happens if you use HSA for something not eligible?

Asked by: Alejandra Gibson III  |  Last update: October 25, 2025
Score: 4.4/5 (3 votes)

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65, if you use your money for non-qualified expenses, the IRS imposes a withdrawal penalty of 20 percent on the amount withdrawn.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.

What happens if I use my HSA for ineligible expenses?

However, you would need to pay ordinary tax and an additional penalty of 20% on any funds that are withdrawn for an ineligible expense. You are responsible for determining if an expense is an eligible medical expense and maintaining receipts for tax reporting and potential IRS audit purposes.

What happens if you buy something that isn't HSA-eligible?

If the IRS determines your expenses are not HSA-eligible, the ineligible expenses will be subject to income tax and a 20% penalty (if you are under age 65). Also, make sure you don't exceed HSA contribution limits each year.

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.

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.

Not Eligible for an HSA or a Roth IRA – What's the Next Step?

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What triggers an HSA audit?

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.

What if I accidentally used my HSA card for groceries?

If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.

Can I get in trouble for using HSA money?

When health savings accounts aren't used for their intended purposes, account holders are often assessed 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 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 use 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.

What is the penalty for contributing to an HSA when not eligible?

If your HSA contains excess or ineligible contributions you will generally owe the IRS a 6% excess-contribution penalty tax for each year that the excess contribution remains in your HSA. It is recommended you speak with a tax advisor for guidance.

Can I use my HSA for massage?

Generally, HSAs cover treatments that are considered medically necessary, and massages are no exception.

How to fix HSA mistaken distribution?

Correcting mistaken HSA distributions
  1. Identify and report the mistake. The first step in correcting a mistaken HSA distribution is identifying the error. ...
  2. Reimburse the HSA. ...
  3. Withdraw the excess contribution. ...
  4. Keep detailed records. ...
  5. Seek professional guidance.

What happens if I buy something not covered by my HSA?

Be very careful not to use your HSA debit card or checks on non-eligible purchases. If you spend your HSA funds on unqualified expenses, whether intentionally or by accident, the transaction will go through, and you'll have to pay income tax on the amount.

What is the penalty for using HSA money?

The HSA money you take out will be added back to your gross income. 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 is HSA receipt loophole?

The Adult Child HSA Family Contribution Loophole

That's why you can do things like save receipts for decades and then pull the money out of the account. That's why you can use it as a stealth IRA by investing in it for decades and then pulling it out after age 65 penalty-free and buying a sailboat with it.

What's one potential downside of an HSA?

HSA Cons. The big drawback of an HSA is that you have to sign up with a high deductible health plan to be eligible for one. It is difficult to forecast medical expenses accurately.

What happens if I use my HSA card incorrectly?

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.

How to correct ineligible HSA contributions?

The IRS allows you to correct excess contributions and avoid penalties if you meet certain conditions. To correct excess contributions, you must remove the excess amount and any earnings attributable to it from your HSA by the tax filing deadline, including any extensions.

What happens if I use my HSA for non-qualified expenses?

Non-qualified medical expenses

The federal penalty for using HSA funds for non-qualified expenses is 20 percent if you are under age 65, plus the loss of tax-free treatment for the distribution. Keep itemized receipts and copies of prescriptions for over-the-counter drugs in case of an IRS audit.

What if I accidentally bought food on my HSA?

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.

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.

Do they check HSA for receipts?

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.

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 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).