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HSA withdrawals

Tax-free for medical

Is An hsa withdrawal Taxable?

Short answer: HSA withdrawals for medical costs are tax-free at any age; non-medical withdrawals are taxed plus 20% before 65.

After 65 non-medical withdrawals are just taxed like an IRA.

Records to keep: Keep receipts, statements (1098, 1098-T, 1099, W-2G), and a note of what each cost was for. Compare itemizing to the 2026 standard deduction before you claim.