27 June 2022 0:46

HSA distribution and medical expense deduction in the same year

Distributions from an HSA that are used to pay qualified medical expenses aren’t taxed. An Archer MSA may receive contributions from an eligible individual and his or her employer, but not both in the same year. Contributions by the individual are deductible whether or not the individual itemizes deductions.

Can you deduct medical expenses if paid by HSA?

The IRS won’t let you deduct medical expenses paid with HSA or MSA funds. Those funds are already tax-free and deducting them as medical expenses would be double-dipping.

What percent is the additional tax on HSA distributions not used for medical expenses?

20 percent

The medical expenses paid from the HSA distribution cannot be used as an itemized deduction on federal Schedule A. Distributions not used for qualified medical expenses must be included in income and are subject to a 20 percent additional tax.

Do HSA distributions count as income?

HSA distributions are exempt from income taxes if all of the funds are used to pay qualified medical expenses that were incurred after the HSA was established. If any portion of a distribution is not used for qualified medical expenses, that portion is taxable as income and subject to a 20 percent penalty.

Why do I have to report HSA distributions?

You, as the account holder, need to report contributions to and distributions from HSAs on IRS Form 8889 and attached it to Form 1040. The IRS will review these documents to determine whether you used your HSA funds to pay for qualified medical expenses.

How do I report HSA distributions on my taxes?

Use Form 8889 to:

  1. Report health savings account (HSA) contributions (including those made on your behalf and employer contributions),
  2. Figure your HSA deduction,
  3. Report distributions from HSAs, and.
  4. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.


Can I deduct HSA contributions if I don’t itemize?

If you contribute any money to your Health Savings Account (HSA), that acts as a deduction on your taxable income. For 2020, the maximum allowed is up to $3,550 for an individual or $7,100 for a family annually. If you’re over 55, you can contribute an extra $1,000 for the year.

Are HSA contributions tax deductible in 2021?

The annual limit on HSA contributions will be $3,600 for self-only and $7,200 for family coverage. That’s about a 1.5 percent increase from this year.



IRS Announces 2021 Limits for HSAs and High-Deductible Health Plans.

2021 2020
Out-of-pocket limits for HSA-qualified HDHPs (IRS) Self-only: $7,000 Family: $14,000 Self-only: $6,900 Family: $13,800

Do you pay taxes on HSA withdrawals after 65?

Age 65 General Distributions



At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

What happens if I don’t file my 1099 SA?

Since you didn’t include your 1099-SA they will propose making an adjustment to your return that adds the distribution, but not the amount of it that was spent on qualified medical expenses. They will send you a letter and proposed additional taxes, penalties, and interest.

What happens if you don’t file form 8889?

If you fail to do so, you’ll be unable to deduct your HSA contributions. Form 8889 serves several purposes for the IRS. They require you use this document to: Report Health Savings Account contributions (including those made on your behalf and employer contributions)

What is the difference between HSA contributions and distributions?

A contribution is an amount of money that you deposit into your HSA. A distribution is a withdrawal of funds from your HSA.

How does IRS know what you spend HSA on?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

Do I have to report my HSA on my tax return?

Tax reporting is required if you have a Health Savings Account (HSA). You may be required to complete IRS Form 8889. HSA Bank provides you with the information and resources to assist you in completing IRS Form 8889 regarding your HSA.

Where do you report HSA deduction on 1040?

The form has a line for reporting your direct contributions to your HSA, and you’ll carry that deduction to line 25 of your Form 1040. The form also has a line to report employer contributions, which you’ll fill in if you made pretax contributions via payroll deduction or if your company contributed to your account.

What is the difference between 5498 SA and 1099 SA?

The IRS Form 1099-SA is used for reporting HSA distributions; the IRS Form 5498-SA is used for reporting contributions. If you did not have contributions during the year, then you will not see the IRS Form 5498-SA.

Do I have to report form 5498 on my tax return?

Form 5498 is for informational purposes only. You are not required to file it with your tax return. This form is not posted until May because you can contribute to an IRA for the previous year through mid-April. This means you will have finished your taxes before you receive this form.

Where do I put form 5498 on my tax return?


Quote: You must report all IRA withdrawals on your tax return and pay the tax on it with a Roth IRA. It's the opposite.

Does form 5498-SA need to be reported on 1040?

Am I required to report information contained in Form 5498-SA on my federal tax return? No. Report all contributions (employee, employer, and other third-party contributions) to your Fidelity HSA on IRS Form 8889, “Health Savings Accounts (HSAs),” and file it with your IRS Form 1040.

What is the difference between form 5498 and 5498-SA?

Similarly, if reportable contributions have been made for the year, Form 5498 must be filed even if the account was subsequently liquidated or closed. For HSAs, Form 5498-SA information must be sent to the IRS for every individual who maintained an HSA in the prior year.

Is form 5498 the same as 5498-SA?

Similar forms



You may also receive a similar form, the Form 5498-SA, if you have a health savings account, commonly known as an HSA. Form 5498-SA reports your annual contributions to these tax-free accounts that you use to pay for medical expenses.

Do you get a 5498-SA every year?

The 5498-SA form is typically delivered the month after the tax filing deadline, allowing any contributions made in the current year for the prior year to be included. (If you make additional HSA contributions for the prior year after the 5498-SA is issued, you’ll get an updated 5498-SA.)

How do I report a prior year HSA contribution?

You have to tell the bank at the time you made the contribution, that it is designated as a prior year contribution. This may be as simple as a drop-down menu in online banking, or you might have to mail a check with a special form, depending on the bank. You can’t fix it retroactively.