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This article will help you report distributions from a Medical Savings Account (MSA) and calculate any taxable amounts.

To enter amounts from a Form 1099-SA related to a MSA:

  1. Go to Screen 32.2, Medical Savings Accounts (8853)
  2. Scroll down to the MSA Distributions section
  3. Enter the Total MSA distributions received (1099-SA, box 1)
  4. Enter any qualified medical expenses in Total unreimbursed qualified medical expenses

What if the distribution amount exceeds the amount of unreimbursed medical expenses?

  • If the amount of the distribution exceeds the amount of unreimbursed qualified medical expenses, the difference is taxable and will flow to Schedule 1 (Form 1040), line 8, Other Income, with MSA in the description field.
  • In addition to this, an additional 20% tax will be calculated on Form 8853, Part II, line 9B.
    • Any or all of the amount may be excluded from the 20% tax by making an entry in Amount to exclude from 20% tax (1=exclude all) in Screen 32.2, Medical Savings Accounts (8853).
    • The 20% tax does not apply if the distribution is made after the account holder dies, becomes disabled, or reaches age 65.
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