What reasons can you withdraw from HSA?
Asked by: Enoch Howe | Last update: November 17, 2025Score: 4.2/5 (1 votes)
What qualifies for an HSA withdrawal?
The taxpayer can receive tax-free distributions from an HSA to pay or be reimbursed for qualified medical expenses incurred after the taxpayer establishes the HSA. Qualified medical expenses include the medical expenses of the taxpayer, their spouse, or a dependent at the time the expense was incurred.
How can I withdraw money from my HSA without penalty?
Can my HSA be used for anything other than qualified health care expenses? One benefit of the HSA is that after you turn age 65, you can withdraw money from your HSA for any reason without incurring a tax penalty. You are, however, subject to normal income tax on any non-qualified withdrawals.
What triggers an HSA audit?
Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.
Can I borrow from my HSA?
Can I borrow against the money in my HSA? No. You may not borrow against it or pledge the funds in it. For more information on prohibited activities, see Section 4975 of the Internal Revenue Code.
How To Withdraw From Your HSA Tax Free
Can you withdraw HSA for hardship?
If you need to make a withdrawal from your HSA for something other than a qualified medical expense, there's a penalty to consider. Any HSA withdrawal you make without a qualified medical expense will be subject to income taxes. In addition to the income tax, you'll have to pay an additional 20% tax on the withdrawal.
Can I use my HSA to pay off debt?
Use your HSA to pay for qualified medical expenses and put the money you would have otherwise used toward your medical debt. Since HSA contributions aren't subject to federal income tax, you could save up to 30% (depending on your tax bracket) on the services for which you pay with said contributions.
Does IRS look at HSA withdrawals?
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.
What would disqualify you from an HSA deduction?
If another taxpayer is entitled to claim the individual as a dependent, the individual cannot claim a deduction for an HSA contribution. This is true even if the other person does not actually claim the dependent.
Can I withdraw from HSA to reimburse myself?
You can pay for qualified medical expenses out-of-pocket and reimburse yourself using your HSA money. As long as you opened your HSA before the expense was incurred, your reimbursement will be tax-free. You can: Transfer money online from your HSA to your personal bank account using an electronic funds transfer (EFT)
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.
How to prove HSA expenses?
Essentially, any money that comes out of your HSA must have a receipt showing it was for an eligible medical expense.
Can you get in trouble for taking money out of your 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.
How can I get money out of my HSA 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.
Is a gym membership a qualified HSA expense?
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.
How does HSA know what you buy?
Because HSA administrators don't track the purchases employees make with their HSA, employees should make it a habit to save receipts for all HSA-eligible goods and services, so they can easily reimburse themselves when they are ready, or when they need the money.
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).
What can I spend HSA money on?
- Coinsurance. Coinsurance. ...
- Copayments. Copayment. ...
- Deductibles. Deductible. ...
- Qualified medical expenses (includes some dental, drug, and vision expenses) – Find an expenses list on IRS.gov.
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.
What counts as an HSA withdrawal?
If you're under the age of 65, you can withdraw money from your HSA (i.e. take a distribution) to pay for qualified medical expenses. If you use your HSA contributions to pay for anything else, you will have to pay income taxes on the withdrawn amount as well as a 20% penalty.
What happens if I use my HSA for ineligible expenses?
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.
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.
What if I never use the money in my HSA?
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 my HSA to pay for dental insurance premiums?
By using untaxed dollars in an HSA to pay for deductibles, copayments, coinsurance, and some other expenses, you may be able to lower your out-of-pocket health care costs. HSA funds generally may not be used to pay premiums.
Can you buy food with an HSA card?
No, you can't use your Flexible Spending Account (FSA) or Health Savings Account (HSA) for straight food purchases like meat, produce and dairy. But you can use them for some nutrition-related products and services. To review, tax-advantaged accounts have regulatory restrictions on eligible products and services.