What happens if you use your HSA incorrectly?

Asked by: Gerhard Torp III  |  Last update: December 17, 2023
Score: 4.5/5 (6 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 happens if you accidentally use your HSA account by mistake?

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 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use your money for non-qualified expenses, the IRS imposes a hefty HSA withdrawal penalty of 20 percent on the amount withdrawn.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 the penalty for using HSA for non-medical?

With a penalty of 20-percent plus your income tax rate, it's obviously preferable to avoid using HSA funds for non-medical expenses. There are several ways to avoid using funds for non-medical purchases.

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.

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

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Does HSA ever ask for receipts?

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.

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.

Can I use my HSA for groceries?

Food is 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).

Can I use my HSA to pay rent?

For people who don't generally get sick or spend a lot on medical expenses, an HSA can still prove beneficial. If necessary, you can withdraw money from your HSA for non-medical things, but Hogan doesn't recommend it. If you use your HSA to pay rent or get a new dye job, you will end up being taxed.

Can I transfer money from HSA to bank account?

Online Transfers – On HSA Bank's member website, you can reimburse yourself for out-of-pocket expenses by making a one-time or reoccurring online transfer from your HSA to your personal checking or savings account.

Can I 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.

Do you have to pay back 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!

Can you use HSA on DoorDash?

Summary: DoorDash is making it easier than ever to submit your qualified health purchases for reimbursement through your HSA or FSA account via HSA/FSA receipt reimbursement. Upon completing an order containing HSA/FSA eligible items, you will receive an email receipt with your HSA/FSA eligible items highlighted.

Can I buy diapers with HSA?

If the medical issue has symptoms that require diapers to treat the condition, these items may be eligible for reimbursement with a Letter of Medical Necessity (LMN) from a medical professional.

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).

Can I buy tampons with HSA?

With the passage of the CARES Act in March 2020, tampons and other menstrual care products are now fully FSA-/HSA-eligible. According to the text of the bill, menstrual care products include, “tampon, pad, liner, cup, sponge, or similar product used by individuals with respect to menstruation…”

Can I use my HSA at Costco?

Costco accepts a limited number of cards at the main checkout lanes, but they'll let you pay for eligible items with your HSA/FSA card at the Pharmacy or Optical counters. So to use your FSA or HSA cards at Costco, just bypass the regular checkout lines and visit the Pharmacy or Optical department instead.

What is the HSA reimbursement 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.

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.

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.

What if I forgot to report my HSA on my tax return?

It's possible that processing could be delayed and your refund held up until you clear up the discrepancy. However, the most likely outcome is that your return will be processed as submitted, and then you will have to file an amended return to correct the issue.

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 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).