HSA Withdrawals (Qualified vs. Unqualified)

A Health Savings Account (HSA) is a type of savings account that allows individuals to set aside pre-tax income to pay for qualified medical expenses. HSA withdrawals refer to the process of accessing the funds in the account.

There are two types of HSA withdrawals: qualified and unqualified.

Qualified HSA Withdrawals:

Qualified HSA withdrawals are tax-free and penalty-free, as long as they are used to pay for eligible medical expenses. Eligible medical expenses include things like doctor's visits, prescription medications, and medical supplies. The list of eligible expenses is set by the IRS, and it can change from year to year. Here are some key features of qualified HSA withdrawals:

  • Tax-free and penalty-free: When HSA funds are used to pay for qualified medical expenses, the withdrawal is not subject to federal income tax or a penalty.
  • Eligible expenses: Qualified medical expenses include a wide range of services and products related to medical care.
  • Documentation: It's important to keep records of all qualified medical expenses paid with HSA funds, in case the IRS ever requests documentation.

Example: Mary has an HSA with a balance of $2,500. She visits the doctor and pays a $100 copay with her HSA card. Since the copay is a qualified medical expense, Mary can withdraw $100 from her HSA tax-free and penalty-free.

Unqualified HSA Withdrawals:

Unqualified HSA withdrawals are withdrawals that are not used to pay for eligible medical expenses. These withdrawals are subject to income tax and a 20% penalty if the account holder is under age 65. Here are some key features of unqualified HSA withdrawals:

  • Income tax and penalty: Unqualified HSA withdrawals are subject to federal income tax and a 20% penalty (if the account holder is under age 65).
  • No restrictions: There are no restrictions on how unqualified HSA funds can be used, but the tax and penalty consequences can be significant.

Example: John withdraws $1,000 from his HSA to pay for a vacation. Since the withdrawal is not for a qualified medical expense, John will owe income tax on the $1,000 and a 20% penalty (if he is under age 65).

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