Which boxes on 1099SA form for HSA get deducted from taxes?

When it comes to Health Savings Account (HSA), understanding the tax implications is crucial. One important document related to HSA is the 1099SA form. This form reports distributions from an HSA and is essential for tax filing purposes. When filling out your taxes, it's important to know which boxes on the 1099SA form can be deducted to maximize your tax benefits.

The specific boxes on the 1099SA form that get deducted from taxes are:

  • Box 1 - Gross Distribution: This amount represents the total distributions made from your HSA during the tax year. This amount can be deducted from your taxes if used for qualified medical expenses.
  • Box 2 - Earnings on Excess Contributions: If you made excess contributions to your HSA and those contributions generated earnings, this amount can be subject to taxes and should be reported on your tax return.
  • Box 3 - Distribution Code: This box indicates the reason for the distribution. Certain distribution codes, such as Code 1 for qualified medical expenses, can be deducted from your taxes.
  • Box 4 - Fair Market Value: This box reports the fair market value of your HSA at the end of the tax year. While this amount is not directly deductible, it's important for tracking the overall value of your HSA.
  • Box 5 - Employer Contributions: If your employer made contributions to your HSA, this amount is not taxable and can be excluded from your gross income.

By understanding the boxes on the 1099SA form that are deductible, you can ensure you are maximizing the tax benefits of your HSA. Remember to keep all documentation related to your HSA distributions and expenses for tax purposes.


Understanding the 1099SA form is vital for your Health Savings Account (HSA) as it plays a significant role in tax filing. This form details the distributions from your HSA, and knowing which boxes to focus on can lead to lucrative tax benefits.

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