IRS Form 8889 walkthrough (Health Savings Accounts)-2025

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Key takeaways. HSAs offer a number of benefits for savers focused on planning for future health care costs and reducing tax liability. If you contribute to an HSA, or take a distribution, you need to complete and file IRS Form 8889 with your tax return.
File Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions). Figure your HSA deduction. Report distributions from HSAs.
Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.
All contributions to your HSA are tax-deducible, or if made through payroll deductions, are pre-tax which lowers your overall taxable income. Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income.
Use Form 8889 to: Report health savings account (HSA) contributions (including those made on your behalf and employer contributions), Figure your HSA deduction, Report distributions from HSAs, and. Figure amounts you must include in income and additional tax you may owe if you fail to be an eligible individual.

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Line 3 If you were 54 or younger at the end of the tax year and you had the same coverage for all 12 months of the year, enter $3,650 (self-only) or $7,300 (family). If you were 55 or older and meet the same conditions, you can increase the amount by $1,000 if you use the self-only option.
If your employer doesnt include your excess contributions in box 1 of your W-2, you do not need a corrected W-2. You can report the excess HSA contributions as other income on Schedule 1 of your Form 1040.
You must always file a Form 8889 in any year you or an employer contributes money to your HSA or you make withdrawals from the account. The deduction you calculate on Form 8889 is taken on the first page of your income tax return.

2023 form 8889