Does HSA Report to IRS? A Complete Guide for HSA Holders

If you have a Health Savings Account (HSA) or are considering opening one, you might be wondering, does HSA report to IRS? An HSA is a tax-advantaged account that allows individuals to save for qualified medical expenses. Here's everything you need to know about how HSAs interact with the IRS:

Do HSAs Report to IRS?

Yes, HSAs do require some level of reporting to the IRS. While contributions to an HSA are tax-deductible, the IRS needs to ensure that individuals are using their HSA funds for eligible medical expenses.

How are HSAs Reported to the IRS?

Here's how HSAs are reported to the IRS:

  • Form 8889: HSA holders need to file Form 8889 along with their annual tax return. This form details HSA contributions, withdrawals, and other relevant information.
  • 1099-SA: If you make any withdrawals from your HSA during the year, the HSA custodian will issue a Form 1099-SA to report those distributions to both you and the IRS.

What Happens if You Don't Report HSA Activity to the IRS?

Failure to report HSA activity to the IRS can result in penalties and tax consequences. It's essential to accurately report all HSA transactions to avoid any issues with the IRS.

Ultimately, it's crucial to stay compliant with IRS regulations regarding HSAs to enjoy the tax advantages these accounts offer.


If you’re an HSA holder, you might be anxious about the question: does HSA report to IRS? The answer is yes, and it’s important to understand the ins and outs of HSA reporting to ensure you're compliant and can make the most of your tax benefits.

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