Why do I owe more taxes with HSA?

Asked by: Velda Rice  |  Last update: October 14, 2025
Score: 5/5 (62 votes)

While you can use your HSA to pay or be reimbursed for qualified medical expenses, if you receive distributions for other reasons, the amount you withdraw will be subject to federal income tax and may be subject to an additional 20% federal tax.

Why did my HSA make my taxes go up?

The IRS considers that distributions from your HSA are, by default, taxable. This is why your tax goes up and your refund is reduced when you enter the 1099-SA.

Why do I owe taxes on my HSA?

The Health Savings Account (HSA) contribution is initially included in your income because you have not yet indicated that you were eligible to make a contribution to the HSA. If you were not eligible to make the contribution, then it will remain on your return as income and you will pay tax on the amount.

How do I get a tax break from HSA?

How to claim the HSA tax deduction. Tax-deductible HSA contributions should be reported on Form 8889 and filed with your Form 1040 or Form 1040NR. If you or your employer have made contributions to your HSA plan, make sure you reap the benefits on your tax return when you file.

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).

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

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When should you not use an HSA?

HSAs might not make sense if you have some type of chronic medical condition. In that case, you're probably better served by traditional health plans. HSAs might also not be a good idea if you know you will be needing expensive medical care in the near future.

What are the tax advantages of an HSA?

Any interest or earnings on the assets in the HSA are tax-free while held in the account. You can receive tax-free distributions from your HSA, including distributions of interest or earnings, to either pay or be reimbursed for qualified medical expenses you incur after you establish the HSA.

What is the tax loophole for HSA?

HSA Tax Advantages

All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

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.

Why is my HSA being taxed by TurboTax?

If you have not yet gone through the Health Savings Account (HSA) section under Deductions and Credits, then your contribution will be shown as taxable on your return.

Why am I not getting a tax break for my HSA?

If you contribute more than the annual contribution limit set by the Internal Revenue Service (IRS) within a tax year, those excess contributions won't be tax-deductible. In 2024, the HSA contribution limits are $4,150 for individuals and $8,300 for families.

Can I cash out my HSA when I leave my job?

Yes, you can cash out your HSA at any time. However, any funds withdrawn for costs other than qualified medical expenses will result in the IRS imposing a 20% tax penalty. If you leave your job, you don't have to cash out your HSA.

Do you get money back on taxes for HSA?

You can claim a tax deduction for contributions you, or someone other than your employer, make to your HSA even if you don't itemize your deductions on Schedule A (Form 1040). Contributions to your HSA made by your employer (including contributions made through a cafeteria plan) may be excluded from your gross income.

Why am I being taxed 6% on my HSA account?

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.

What happens if I don't report my HSA on taxes?

Other relevant forms include Form 8889 for HSA reporting on your tax return and IRS Form 5329 for excess contributions. Not reporting contributions or distributions for your HSA can result in penalties and interest, affect taxable income calculations, require amended returns, and increase the risk of an IRS audit.

Where does HSA go on a tax return?

The amount that you withdrew from your HSA goes on Line 14, and the portion of the withdrawals that you used for qualified medical expenses goes on Line 15 (make sure you have receipts to document all of the medical bills you paid — you don't have to send them to the IRS, but you'll need them if you're ever audited).

Do HSA contributions reduce your taxable income?

HSA Contributions Are Tax-Deductible

Deductions reduce your taxable income, which can potentially push you into a lower tax bracket. With an HSA, you're allowed to write-off the money you contribute for the year.

When should I stop putting money in my HSA?

If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA. But, you can use money left in your HSA to help pay for qualified medical expenses that Medicare doesn't cover.

Can you use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Does the IRS check your HSA?

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.

How much does HSA affect tax return?

At any age, you can use HSA funds for qualified medical expenses tax-free. But before age 65, if you use HSA funds on non-qualified expenses, those funds will be subject to income taxes and a 20% penalty. Ouch! Once you are 65 and older, that penalty no longer applies.

Can I use my HSA to reimburse myself?

Keep in mind that you can reimburse yourself for any expense at any point, as long as it was incurred after your HSA was established. So if you had an expense that you paid out-of-pocket last year after your HSA was established, but want to reimburse yourself for it this year, you can do so without penalty.

How do I reduce my taxable income?

8 ways to potentially lower your taxes
  1. Plan throughout the year for taxes.
  2. Contribute to your retirement accounts.
  3. Contribute to your HSA.
  4. If you're older than 70.5 years, consider a QCD.
  5. If you're itemizing, maximize deductions.
  6. Look for opportunities to leverage available tax credits.
  7. Consider tax-loss harvesting.

Why is my HSA distribution being taxed?

Distributions from HSAs and MSAs that are not used for qualified medical expenses are subject to income tax and an additional 20% tax. When filing taxes, you must report taxable distributions from HSAs and MSAs on your tax return and calculate the additional 20% tax on the taxable portion of your distributions.

Is toothpaste HSA eligible?

Toothpaste 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).