How do I pay taxes on my HSA withdrawals?
Asked by: Dulce Waelchi | Last update: December 12, 2025Score: 4.4/5 (20 votes)
Do I have to report HSA distributions on my tax return?
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.
Why didn't I get a 1099-SA for my HSA?
Are you sure you have an HSA? You may have a flexible spending account (FSA). FSAs cover dependent care and do not send out 1099-SAs. Your HSA provider is required to send a 1099-SA to the IRS if there were distributions from the account.
Does IRS check HSA withdrawals?
Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.
What happens if I withdraw money from my HSA?
You can withdraw money at any time if it's used for qualified medical expenses. However, if you withdraw money for other purposes, your withdrawal will be subject to income tax (if the contribution was pre-tax) and a 20% penalty.
How To Withdraw From Your HSA Tax Free
Do you pay taxes on HSA withdrawals after 65?
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.
What if I accidentally used my HSA card for groceries?
If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.
How to pay taxes on HSA withdrawals?
If you (or your spouse, if filing jointly) received HSA distributions in 2024, 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.
What is the 12 month rule for HSA?
It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.
Do you ever pay taxes on HSA money?
Any interest or earnings on the assets in the HSA are tax-free while held in the account. You can receive tax-free distributions from your HSA, including distributions of interest or earnings, to either pay or be reimbursed for qualified medical expenses you incur after you establish the HSA.
What happens if I don't report my HSA on taxes?
Other relevant forms include Form 8889 for HSA reporting on your tax return and IRS Form 5329 for excess contributions. Not reporting contributions or distributions for your HSA can result in penalties and interest, affect taxable income calculations, require amended returns, and increase the risk of an IRS audit.
Who sends my HSA tax form?
HealthEquity will send you a Form 1099-SA if you had any distributions from your HSA during the tax year. Enter the distributions2 shown in Box 1 of Form 1099-SA on Form 8889.
How does IRS know what you spend HSA on?
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.
Why don't I have a 1099-SA on my HSA?
You may get both a 1099-SA and 5498-SA from us. IMPORTANT: You WON'T receive this form if you DIDN'T withdraw funds from your HSA in the prior year. The 1099-SA is used to report any distribution (withdrawal) of funds from your HSA during the prior year. You must report distributions from your HSA on IRS Form 8889.
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).
Is a gym membership a qualified HSA expense?
Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.
Do HSA contributions reduce your taxable income?
All contributions to your HSA are tax-deducible, or if made through payroll deductions, are pre-tax which lowers your overall taxable income. Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income.
Are vitamins HSA eligible?
In general, vitamins are not considered an HSA eligible expense unless they are prescribed by a doctor for a specific medical condition. For example, if your doctor prescribes prenatal vitamins during pregnancy or recommends vitamin D supplements to treat a deficiency, those could be eligible expenses under your HSA.
When should I stop putting money in my HSA?
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. But, you can use money left in your HSA to help pay for qualified medical expenses that Medicare doesn't cover.
How is HSA reported on tax return?
The HSA contributions that you make directly to your HSA (outside of your employer's payroll system) are reported on Line 2. If your HSA contributions are deducted from your paycheck and/or your employer contributes on your behalf, those contributions should be listed on Line 9 instead.
Does IRS audit HSA withdrawals?
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.
Can I borrow from my HSA and pay it back?
No.
What are the most common mistakes for HSA?
- Using an HSA when you're not eligible. ...
- Paying for ineligible expenses. ...
- Contributing too much to your account. ...
- Paying someone else's medical bills. ...
- Using all of your funds. ...
- Using both an HSA and FSA. ...
- Stay ahead of mistakes with HSA Store.
Can I transfer money from my HSA to my 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.
Can I buy deodorant with HSA?
Deodorant reimbursement is not eligible 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).