Which Tax Form Tells You About HSA? - A complete guide to understanding hsa tax forms

As you navigate the world of health savings accounts (HSAs), you may come across tax forms that relate to your HSA contributions and distributions. One crucial tax form that provides information about your HSA is Form 1099-SA.

Form 1099-SA is used to report distributions made from an HSA, Archer MSA (Medical Savings Account), or Medicare Advantage MSA (Archer MSA)

Here is a breakdown of the information provided on Form 1099-SA:

  • The gross distribution amount
  • The earnings portion of the distribution (if applicable)
  • Any contributions or reimbursements made from non-eligible sources
  • If there are excess contributions on your account, they are reported in Box 2
  • If you are under age 65 and use the distribution for non-qualified medical expenses, it will be subject to both income tax and an additional 20% penalty.
  • However, if you are over age 65, disabled, or have passed away, the distribution may not be subject to the additional 20% tax.

It is essential to keep track of your HSA tax forms, especially Form 1099-SA, to ensure accurate reporting of your HSA activities on your tax return.


When managing your Health Savings Account (HSA), it's important to familiarize yourself with the various tax forms, particularly Form 1099-SA. This form is pivotal as it delineates all distributions you've made from your HSA during the tax year, assisting you in maintaining accurate records for tax filing.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter