Form 5498-SA, HSA, Archer MSA, or Medicare Advantage MSA Information, reports contributions and other information related to your:
- Health Savings Account (HSA)
- Archer Medical Savings Account (Archer MSA)
- Medicare Advantage Medical Savings Account (MA MSA)
Your account trustee or custodian sends Form 5498-SA to you and the IRS. If you have more than one type of medical savings account, the trustee must prepare a separate form for each account type. Form 5498-SA does not report contributions to an individual retirement arrangement, or IRA. IRA contributions are reported on Form 5498 instead.
Program Entry
- Federal
- Deductions - Select my forms
- Adjustments to Income
- Health Savings Account HSAs, Form 8889
Do I need to enter Form 5498-SA on my tax return?
You’ll generally use Form 5498-SA as a reference when completing your tax return. It helps you confirm how much was contributed to your account and whether you may claim a deduction.
HSA information is generally reported on Form 8889. Archer MSA and Medicare Advantage MSA information is generally reported on Form 8853. Keep Form 5498-SA with your tax records, even if our software doesn’t ask you to enter every box.
What if my employer contributed to my HSA?
You and your employer can both contribute to your HSA during the same year.
Employer HSA contributions are generally excluded from your taxable income, so you can’t claim a second deduction for them on your tax return. These contributions are usually reported in Box 12 of your Form W-2 using code W.
Contributions made directly by you, or by someone other than your employer, may be deductible if you meet the HSA eligibility rules. Contributions you make through a pre-tax payroll arrangement are generally already excluded from your taxable wages, so they aren’t deducted again.
What if my employer contributed to my Archer MSA?
The rules for an Archer MSA are different from the HSA rules.
If your employer contributes to one of your Archer MSAs for the year, you can’t contribute to an Archer MSA for that same year. If you contribute after your employer has contributed, your contribution isn’t deductible and may be treated as an excess contribution. Employer Archer MSA contributions are generally excluded from your income and reported in Box 12 of Form W-2 using code R.
A special restriction may also apply when your spouse’s employer contributes to your spouse’s Archer MSA and the related high-deductible health plan covers both you and your spouse.
Who contributes to a Medicare Advantage MSA?
Only Medicare can contribute to a Medicare Advantage MSA. Neither you nor your employer may contribute to the account.
The Medicare contribution isn’t included in your gross income, and you can’t deduct it on your tax return.
What information does Form 5498-SA show?
Depending on your account type, Form 5498-SA may show:
- Contributions made to an Archer MSA
- Total contributions made to an HSA or Archer MSA
- Contributions made after the end of the year that are designated for the prior tax year
- Rollover contributions
- The fair market value of the account
- Whether the account is an HSA, Archer MSA, or Medicare Advantage MSA
For an Archer MSA, Box 1 may include qualifying contributions made during the calendar year and through April 15 of the following year.
What if the amount on Form 5498-SA looks wrong?
Compare the form with your payroll records, bank statements, Form W-2, and account statements. Check whether a contribution made in early 2027 was designated for tax year 2026.
If the form is incorrect, contact the account trustee or custodian that issued it. The trustee or custodian, not the taxpayer, must correct the form.
Where can I see a sample Form 5498-SA?
You can view the official Form 5498-SA - Click Here