Do I Have to File HSA on My Taxes? A Simple Guide for HSA Holders

As a holder of a Health Savings Account (HSA), you may wonder whether you need to include your HSA on your tax return. The short answer is - yes, you need to file your HSA on your taxes. But don't worry, it's not as complicated as it may sound!

When it comes to tax time, here's what you need to know about including your HSA:

  • HSA Contributions: Your contributions to your HSA are tax-deductible, which means they can help lower your taxable income.
  • HSA Distributions: Any withdrawals or distributions from your HSA for qualified medical expenses are tax-free.
  • Form 8889: You will need to fill out IRS Form 8889 to report your HSA contributions and distributions.
  • Tax Reporting: You will also receive Form 1099-SA from your HSA administrator, which you will need to include in your tax return.
  • Penalties: Failure to report your HSA on your taxes or improper reporting can result in penalties from the IRS.

Remember, keeping track of your HSA contributions and distributions throughout the year can make tax time a breeze. If you have any questions or need assistance, don't hesitate to consult a tax professional for guidance.


As with any financial tool, understanding your responsibilities as an HSA holder is key, especially during tax season. Luckily, filing your Health Savings Account on your taxes is straightforward!

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