Do I Have to Report HSA Distributions? - Understanding HSA Tax Reporting

When it comes to Health Savings Accounts (HSAs), many people wonder if they have to report HSA distributions on their taxes. The short answer is yes, you do need to report HSA distributions, but the process is quite simple and straightforward.

Reporting HSA distributions on your taxes is crucial to ensure you are in compliance with IRS regulations. Here's what you need to know about reporting HSA distributions:

  • HSA distributions used for qualified medical expenses are tax-free and do not need to be reported as income
  • If you use HSA funds for non-qualified expenses, you must report those distributions as taxable income
  • Your HSA administrator will provide you with a Form 1099-SA, which details the distributions made from your HSA during the tax year
  • You will also receive a Form 5498-SA, which shows contributions made to your HSA for the tax year
  • When filing your taxes, you will need to use these forms to report your HSA distributions accurately

While reporting HSA distributions may sound complicated, it is a necessary step to ensure you are compliant with IRS rules. By accurately reporting your HSA distributions, you can enjoy the tax advantages that come with having an HSA.


Yes, reporting HSA distributions is essential when tax season rolls around. If you've tapped into your Health Savings Account this past year, it's critical to keep track of how those funds were utilized.

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