Why do I owe taxes on my HSA?

Asked by: Valentine Reilly V  |  Last update: December 31, 2023
Score: 4.3/5 (38 votes)

You can withdraw money from your HSA for any reason, but if it's not to cover an approved healthcare cost you'll owe income taxes and a 20% penalty.

Why am I being taxed on HSA contributions?

If an HSA is funded by contributions from both the employer and the employee, it will be important to ensure that the total contributions remain within the annual IRS limits. Contributions made in excess of these annual limits may become taxable income to the employee.

Does HSA make you owe taxes?

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. Withdrawals from your HSA are 100 percent tax-free for eligible medical expenses (i.e., deductibles, copays, prescriptions, vision, and dental care).

Can I withdraw from my HSA to avoid taxes?

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 much is the HSA tax penalty?

In addition to the 20 percent penalty, the IRS will also consider any HSA funds spent on non-qualified expenses as taxable income. This means they must be included as part of your total income when filing your taxes, which could increase the amount you owe or reduce any refund to which you may be entitled.

Health Savings Account HSA Tax Forms and Tax Reporting Explained!

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What is the downside of a health savings account?

Potential tax drawbacks

Prior to age 65, HSA funds withdrawn to pay for nonmedical expenses are considered taxable income. The IRS also levies a 20 percent penalty. Expenses can be audited by the IRS so you should keep receipts for all payments made with HSA funds.

How can I avoid HSA penalty?

After you reach age 65 or if you become disabled, you can withdraw HSA funds without penalty, but the amounts withdrawn will be taxable as ordinary income if not used for qualified medical expenses. Can I withdraw the funds from my HSA at any time?

Does HSA hurt taxes?

HSAs are considered to be triple tax-advantaged. This refers to the fact that contributions to your HSA are tax-deductible, funds in your HSA grow tax-free, and qualified distributions are also tax-free. There are annual limits to how much you may contribute to your HSA.

When can I take money out of my HSA tax-free?

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

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.

Are HSAs worth it?

HSAs have substantial tax advantages, so much so that some use them as retirement plans, alongside their 401(k) or IRA accounts. Contributions to an HSA are made with pretax dollars. This means that you won't pay income tax on the money that you put directly into your HSA and you'll save on income taxes for the year.

How do I handle HSA on my tax return?

File Form 8889 to:
  1. Report health savings account (HSA) contributions (including those made on your behalf and employer contributions).
  2. Figure your HSA deduction.
  3. Report distributions from HSAs.
  4. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.

Should I max out my HSA?

Maxing out your HSA each year easily allows your funds to grow over time. Unlike regular savings accounts, an HSA allows you to invest funds in stocks, bonds, and mutual funds.

Why is Turbotax taxing my HSA?

HSA distributions used for anything other than qualified medical expenses are not only taxable, they're subject to an additional 20% penalty if you're not disabled or are under the age of 65.

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.

Is HSA considered income?

Earnings on amounts in HSAs are not taxable. Distributions from an HSA for qualified medical expenses are not includible in gross income; however, distributions made from an HSA that are used for non-qualified medical expenses are includible in gross income and are subject to an additional tax of 20 percent.

What happens to leftover HSA money?

No. HSA money 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 if I cash out my HSA?

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. The taxes you pay on an unqualified HSA withdrawal will add up quickly.

What if I accidentally used my HSA card for groceries?

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.

Can you use HSA for dental?

You can also use HSAs to help pay for dental care. While dental insurance can help cover costs, an HSA can also help cover any out-of-pocket expenses resulting from dental care and procedures.

Should I use HSA or pay out-of-pocket?

It is never ideal to go into debt to cover your deductible and other out-of-pocket costs. If you have medical bills right now that you can't cover from your checking account (or by tapping a portion of your emergency savings), it is wise to use your HSA today to pay your outstanding medical bills.

How much money can you have in a health savings account?

2023 HSA contribution limits

The HSA contribution limits for 2023 are $3,850 for self-only coverage and $7,750 for family coverage. Those 55 and older can contribute an additional $1,000 as a catch-up contribution.

How much should I put in HSA per year?

Contribute the maximum As with all tax-advantaged accounts, there's an annual contribution limit to consider. For 2023, the IRS contribution limits for HSAs are $3,850 for individual coverage and $7,750 for family coverage.

How much should I put in HSA per pay period?

You'll be responsible for meeting your out-of pocket deductible expenses, so consider contributing at least the amount of your deductible. If you think you could have health care expenses beyond your deductible, try to bump up your contribution to include that amount if you can.

Should I invest 100% of my HSA?

Try to invest as much of your HSA money as possible while ensuring that you keep enough cash to cover your qualified medical expenses. Consider where your other retirement plans are invested as well to make sure that your HSA investments provide diversification. Avoid taking out funds from your HSA as much as possible.