How Does a Bank Report HSA? - A Guide to Understanding HSA Reporting

When it comes to Health Savings Accounts (HSAs), understanding how banks report on them is crucial. HSAs are tax-advantaged accounts that allow individuals to save for medical expenses. Banks play a key role in managing these accounts and providing necessary reports.

So, how does a bank report on HSA transactions? Here’s a breakdown:

  • Form 1099-SA: Banks issue Form 1099-SA to account holders, reporting distributions made from the HSA during the tax year. This form helps individuals report their HSA withdrawals on their tax returns.
  • Form 5498-SA: Banks also provide Form 5498-SA, which reports contributions made to the HSA. This form assists individuals in tracking their contributions for tax purposes.
  • Recordkeeping: Banks maintain records of all HSA transactions, including contributions, distributions, and account balances. Account holders can request these records for their own reference.

It’s essential for HSA account holders to review these reports for accuracy and keep them for tax purposes. Understanding how banks report on HSAs can help individuals stay compliant with IRS regulations and make informed decisions regarding their healthcare savings.


Understanding how banks report on Health Savings Accounts (HSAs) is key to managing your healthcare finances effectively. HSAs not only provide tax advantages, but they also allow you to save specifically for medical expenses, making it essential to know the reporting requirements.

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