Do HSA contributions reduce adjusted gross income?

Asked by: Prof. Arely Runolfsdottir  |  Last update: February 23, 2026
Score: 4.8/5 (49 votes)

The money you contribute to your HSA is non-taxable, just like it is if you contribute to a traditional 401k, IRA or other interest-bearing account. When you contribute money to an HSA, it decreases your adjusted gross income (AGI) which determines your taxable income.

Is an HSA contribution a deduction from federal gross income?

Contributions to your HSA made by your employer (including contributions made through a cafeteria plan) may be excluded from your gross income. The contributions remain in your account until you use them. The interest or other earnings on the assets in the account are tax free.

What decreases adjusted gross income?

If you're self-employed or a small business owner, deducting business expenses is a crucial strategy to lower your AGI. Common deductible business expenses include office rent, utilities, office supplies, and more. By keeping accurate records of these expenses, you can reduce your AGI.

How does contributing to an HSA affect taxes?

Contributions made toward your HSA through payroll deductions are excluded from your gross income. In addition, contributions made to your HSA by your employer may be excluded from your employment taxes (like Social Security and Medicare taxes). You will see these reported on your Form W-2.

Why does my tax refund go down when I enter HSA contributions?

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.

Adjusted Gross Income, Explained in Four Minutes | WSJ

20 related questions found

Does HSA deduction reduce AGI?

Within limits, contributions to an HSA made by, or on behalf of, an eligible individual are deductible by the individual in determining adjusted gross income (AGI). Contributions to an HSA are excludable from income and employment taxes if made by the employer.

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).

Do I need to report HSA contributions on my tax return?

You must report contributions from your HSA on IRS Form 8889. Get 5498-SA information in the "If I don't have a 5498-SA, how can I get my contributions by tax year?" question below. Find a sample of form 5498-SA from the IRS.

What decreases your taxable income?

Contribute to your retirement accounts

Traditional 401(k): Because your contributions are withdrawn from your paycheck before you've paid taxes, your taxable income will be lower, potentially reducing the federal taxes you owe for the year.

Do employer HSA contributions reduce taxable income?

Generally, contributions made by an employer to the health savings account (HSA) of an eligible employee are excludable from an employee's income and are not subject to federal income tax, Social Security or Medicare taxes. In addition, employer contributions are deductible as a business expense to the company.

What is subtracted to get adjusted gross income?

To boil it down, it's simply your total gross income minus specific tax deductions. Some common examples of eligible deductions that reduce adjusted gross income include deductible traditional IRA contributions, health savings account contributions, and educator expenses.

Does health insurance premium reduce AGI?

Self-employed people and businesses can deduct some or all of their health insurance premiums from their taxable income. Considering these premiums as an insurance deduction is a significant benefit because it can reduce your adjusted gross income (AGI). A lower AGI means you could owe less in taxes.

How can I reduce my modified adjusted gross income?

There are several ways to reduce your 2024 modified adjusted gross income so that you can qualify for Roth contributions.
  1. Contribute to a Health Savings Account (HSA) ...
  2. Make the most of deductions that reduce your AGI. ...
  3. Reduce any income from self-employment. ...
  4. Manage taxes on investment earnings.

What is the 12 month rule for HSA?

The Last Month Rule

There is a testing period of twelve months. This means you must stay eligible through the end of the next year, or else you will face taxes and penalties.

Where does the HSA contribution go on 1040?

HSA contributions are reported on Line 25 of Form 1040.

What is the triple tax advantage of HSA?

HSAs are savings vehicles that offer a triple tax advantage: Contributions go into the HSA tax-free If you make contributions through payroll deductions, they are also not subject to Social Security or Medicare taxes. You can invest that money and enjoy tax-free growth potential.

How to reduce your adjusted gross income?

How to reduce your AGI
  1. Put more money into your traditional IRA. Your pre-tax contributions to traditional IRAs may be deductible if you don't have a 401(k) and meet certain IRS income requirements. ...
  2. Contribute to an HSA. ...
  3. Max out your student loan interest deductions. ...
  4. Use the qualified charitable distribution (QCD) rule.

Do charitable contributions reduce AGI?

A qualified charitable distribution can lower your AGI and satisfy the required minimum distribution rules set by the IRS. It can also help offset other taxes, such as those on Social Security benefits.

How to reduce adjusted net income?

For example, you can make charitable donations, reduce your ANI, and provide tax relief. You can also make pension contributions to reduce your Adjusted Net Income and benefit from tax relief.

How much will HSA reduce my taxes?

HSA Tax Advantages

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. 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.

How do I reduce my taxable income?

Individuals can take advantage of various tax-related retirement planning strategies to reduce their taxable income today and post-retirement.
  1. Traditional 401(k) and Roth 401(k) ...
  2. Traditional IRA and Roth IRA. ...
  3. Solo 401(k) and SEP-IRA. ...
  4. Bunching Donations. ...
  5. Donate stock or appreciated assets. ...
  6. Qualified Charitable Distributions.

How does HSA affect tax refunds?

If you use your HSA money to pay for anything other than a qualified medical expense, and you're under the age of 65, you'll have to add the amount you used to your taxable income on your tax return. Then you'll have to pay an additional 20 percent tax penalty on that amount.

When should I stop contributing to my HSA?

Once you turn 65, you can use the money in your HSA for anything you want. 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.

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

Use HSA funds to pay for emergency medical costs.

A better option is to pay with other funds and keep track of expenses. Medical claims never expire, so money can be withdrawn tax-free in retirement in order to reimburse medical expenses that were paid out-of-pocket years before.

Can you use HSA for dental?

Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.