What happens to my HSA at the end of the year?
Asked by: Sheridan Mitchell I | Last update: October 2, 2025Score: 4.3/5 (63 votes)
Do I lose my HSA money at the end of the year?
No, any money placed in a Health Savings Account is yours to keep. Unlike a Flexible Spending Account (FSA), unused money in your HSA isn't forfeited at the end of the year. It continues to grow, tax deferred.
What happens to HSA money if you don't use it?
Unspent HSA funds roll over from year to year. You can hold and add to the tax-free savings to pay for medical care later. HSAs may earn interest that can't be taxed. You generally can't use HSA funds to pay premiums.
What happens if you don't withdraw excess HSA contributions?
The IRS imposes a 6% excise tax on any excess accumulation in your HSA. This tax is applied each year until the excess amount is withdrawn from the account. The excise tax is in addition to any income tax you may owe on the excess contribution.
Do HSA funds roll over to the next year?
To set up an HSA, the individual must be covered by a federally qualified HDHP. HSAs are owned by the individual, balances roll over from year to year, and the funds are portable, meaning the employee keeps them if they leave the HDHP plan or state service.
HSAs "last month" rule
What is the downside of an HSA?
Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).
Can you cash out an HSA?
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.
What is the 12 month rule for HSA?
It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.
How do I know if I overfunded my HSA?
You will see the total amount of your excess contributions for the year on IRS Form 8889, Health Savings Accounts (HSAs). This amount is taxable income. If the excess contributions are from your employer, they will include them in your wages when they report them on your W-2.
Can I empty my HSA account?
As a practical matter, you are allowed to withdraw funds from your HSA at any time for any reason. But if you aren't using the funds to cover a qualified medical expense, then you'll be stuck paying a penalty tax.
Can you keep HSA money forever?
Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.
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.
Can HSA be used for dental?
Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.
What happens to unused HSA money?
Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.
Can I transfer money from my HSA to my 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 cash out my HSA if I leave my job?
An HSA is a portable account, meaning it goes where you go. If you leave a job, your HSA comes with you. You can keep withdrawing funds from the account, tax-free, to pay eligible expenses as long as there is money in there.
Is it smart to max out my HSA?
Medical expenses are inevitable, so it could be a smart strategy to max out an HSA, especially since you don't risk losing the money and can take full advantage of the tax benefits. Just be cautious about prioritizing maxing out your HSA if you have other financial needs that could make better use of that cash.
How do I withdraw money from my HSA over contribution?
You can take out the excess contribution by making a request with your HSA provider, which may involve filling out a form or two. If you have been contributing to your HSA via payroll, you should also inform your employer. Once you take the money out it will be regular taxable income earned.
Why is my HSA being taxed?
Any contributions above the IRS set limit will be considered as taxable income. If you over contribute to your HSA and don't correct it, you may be charged a 6% penalty rate each year on the excess that remains in your account. Although funds in your HSA are tax-free, tax penalties may arise.
Are vitamins HSA-eligible?
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 I need to report HSA on taxes?
Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA. You must file IRS Form 1040 for your HSA contributions, not the short Form 1040A or 1040EZ.
When should I stop putting money in my HSA?
If you are retiring at the age of 65 ½ or older, to avoid potential tax issues, you want to STOP YOUR HSA CONTRIBUTIONS so that you have 6 months of NO contributions before you FILE FOR MEDICARE.
Is HSA better than 401k?
Comparing HSAs and 401(k)s
The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).
Can I borrow from my HSA and pay it back?
No.
Do you pay taxes on HSA withdrawals?
Contributions, interest, any investment gains, and withdrawals for qualified health care expenses are all federal tax-free.