Do You Get a 1099-SA for HSA or FSA?

When it comes to tax season and health savings accounts (HSAs) or flexible spending accounts (FSAs), you may wonder whether you need to deal with a 1099-SA form.

Here's the breakdown:

HSA (Health Savings Account):

  • If you use your HSA funds for qualified medical expenses, you do not receive a 1099-SA form.
  • If you make withdrawals for non-qualified expenses, you will get a 1099-SA from your HSA administrator, and you may face taxes and penalties on that amount.

FSA (Flexible Spending Account):

  • For FSAs, you typically do not receive a 1099-SA form because these accounts are employer-sponsored and funded with pre-tax dollars.
  • However, if you have an FSA with a debit card and use it for non-healthcare purchases, the IRS may consider that taxable income, and you may need to report it.

In summary, for HSAs, the 1099-SA comes into play if you use the funds for non-qualified expenses. For most FSAs, there is usually no 1099-SA involved.


During tax season, understanding the forms related to your health savings accounts (HSAs) and flexible spending accounts (FSAs) is essential. If you're using your HSA for qualified medical expenses, there's no need to worry about a 1099-SA form. However, any funds withdrawn for non-qualified expenses will lead your HSA administrator to issue a 1099-SA, and you could face taxes and penalties on that sum.

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