Do I have to report HSA withdrawals on my tax return?

Asked by: Jillian Will  |  Last update: November 5, 2023
Score: 5/5 (71 votes)

If you (or your spouse, if filing jointly) received HSA distributions in 2022, you must file Form 8889 with Form 1040, Form 1040-SR, or Form 1040-NR, even if you have no taxable income or any other reason for filing Form 1040, Form 1040-SR, or Form 1040-NR.

Do you have to claim HSA withdrawals on taxes?

HSA distributions

The IRS requires you to prepare Form 8889 and attach it to your tax return when you take a distribution from an HSA. However, if your 1099-SA indicates you did not use the distribution for qualified medical expenses, you will pay income tax on the portion you used for nonqualified expenses.

Do I have to report HSA on taxes if I didn't contribute?

You won't get a 5498-SA form if you didn't have contributions and your balance was zero dollars at the end of the year. You must report contributions from your HSA on IRS Form 8889.

What happens if you don't report HSA?

You must self-report any non-qualifying purchases on the Health Savings Account screen. Not claiming the non-qualifying expenses may lead to an audit, and you'll be subject to penalties and fines.

Why do I have to report HSA on my taxes?

You are eligible for a tax deduction for additional contributions you made to your HSA even if you do not itemize your deductions. Contributions made to your HSA by your employer may be excluded from your gross income. The contributions remain in your account until you use them.

Health Savings Account HSA Tax Forms and Tax Reporting Explained!

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Does the IRS check your HSA?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

How do HSA distributions affect taxes?

Distributions from an HSA that are used to pay qualified medical expenses aren't taxed. An Archer MSA may receive contributions from an eligible individual and the eligible individual's employer, but not both in the same 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.

How much are you taxed on HSA withdrawals?

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 use my HSA?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

What if I forgot to include a 1099 SA on my tax return?

If you catch the error before the IRS does, then you should file an amended tax return using Form 1040-X, Amended U.S. Individual Tax Return. Be sure to include a copy of the 1099 with the amended return and include a payment for any additional tax that you owe.

What happens if you don't file Form 8889?

If you hold an HSA account (or are the beneficiary of a deceased HSA holder), you're required to attach Form 8889 to your Form 1040 when filing your personal income tax or information return. If you fail to do so, you'll be unable to deduct your HSA contributions.

Can you withdraw from HSA for non medical expenses?

You can withdraw funds from your HSA anytime. But keep in mind that if you use HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

How do I avoid taxes on my HSA withdrawals?

Using your HSA in retirement – No penalty

If the HSA dollars are spent on eligible expenses, such as Medicare premiums or other healthcare needs, then those withdrawals are not subject to taxes (same as pre-retirement).

How do you report HSA distributions?

HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.

When can I withdraw HSA funds 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.

Do I need to report Form 1099-SA on my tax return?

IRS Requirements

If you have an HSA, you need to include information from two IRS forms – Form 1099-SA and Form 8889 – on your 1040 tax form. Form 1099-SA reports the total distributions (withdrawals) made from your HSA account during the taxable year. Form 8889 reports all contributions made to your account.

Does HSA increase tax refund?

Making an extra contribution to your HSA before filing your previous year's tax returns is a smart move because it can reduce your taxable income. This move alone can potentially lower the amount of taxes you owe or increase your refund.

Is gym membership HSA eligible?

Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Will I get audited for HSA?

HSA reimbursements need matching receipts.

When using an HSA debit card, retain receipts for each transaction as those expenses will be reported to the IRS, and you could be audited.

Does IRS ask for HSA receipts?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

Can I use my HSA for groceries?

Food 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).

What if HSA is not on W-2?

- If the HSA contribution was excluded from the wages shown on the W-2, then they were considered pretax deductions under an employer's S125 plan and the amount should be included in Box 12W. - If an employee contributes to their HSA using after tax money, then the amount they contributed should not show up in Box 12W.

What happens if you don't report income on tax return?

An Accuracy-Related Penalty applies if you underpay the tax required to be shown on your return. Underpayment may happen if you don't report all your income or you claim deductions or credits for which you don't qualify.

Will I get audited if I forgot a 1099?

Often, you'll receive a normal CP11 notice if you file returns with missing 1099s. But in more severe cases, the IRS might notify you that they want to “examine” you, which means you're getting an audit. The chances of the IRS auditing you are naturally very low if you've only lost a 1099 form.