Do You Always Receive a 1099-HSA? Explained

When it comes to Health Savings Accounts (HSAs), the subject of tax forms like the 1099-HSA can be confusing for many individuals.

An HSA is a tax-advantaged savings account for medical expenses, allowing participants to save money that can be used for qualified healthcare costs.

So, do you always receive a 1099-HSA? The answer is not necessarily. Here’s a breakdown of the situation:

If you have an HSA, it is crucial to understand the role of the 1099-HSA form:

  • The 1099-HSA form reports distributions from your HSA account, which are withdrawals that you may have used for qualified medical expenses.
  • If you take distributions for non-medical expenses before the age of 65, you may be subject to taxes and penalties, and this information will also be included on the form.
  • However, some exceptions exist when it comes to receiving a 1099-HSA:
    • If you use your HSA funds solely for qualified medical expenses, you may not receive a 1099-HSA form.
    • Employers are not required to send a 1099-HSA for every account holder, so it is essential to keep track of your HSA activity and distributions throughout the year.

Remember, even if you don’t receive a 1099-HSA, it is your responsibility to report any HSA distributions accurately on your tax return.


Understanding the 1099-HSA form is essential for anyone utilizing a Health Savings Account (HSA). This form is crucial for tax season, but not everyone receives it every year.

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