HSA Tax Preparation,
Without the Stress

A health savings account is one of the most tax-advantaged accounts available, yet many people use only a small part of its potential. Contributions may be deductible, earnings grow tax-free, and withdrawals for qualified medical expenses are also tax-free, a combination few other accounts offer. HSAs also come with eligibility requirements, contribution limits that vary by coverage and age, and rules that are easy to overlook. Many people use the account only for current copays and prescriptions, even though it can serve a much larger role. Used strategically, an HSA can reduce your taxes today and become a valuable part of your retirement savings.

Clients with HSAs visit our West Omaha office at 12305 Gold Street for a process that is clear from the beginning. You receive the price upfront and work directly with one credentialed professional, not a seasonal preparer or rotating team. Your return is handled by a CFP® professional, CFA® charterholder, and Enrolled Agent who responds promptly, even during tax season. When the work is complete, you receive a recorded video explaining the figures on your return and why they were reported. Payment is not due until your return is ready to file.

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Some Situations That Might Apply to You If You Have an HSA

You contributed to an HSA

Health savings account contributions are deductible even if you do not itemize. Amounts contributed through payroll are generally already excluded from taxable income and should not be deducted again, while direct contributions may reduce your income on the return. Annual limits vary based on individual or family coverage, and people above a certain age may contribute an additional amount. You may also have until the tax filing deadline to make a contribution for the prior year. We make sure each contribution is reported correctly, deducted when allowed, and not counted twice.

Your eligibility changed during the year

HSA eligibility rules are strict, and a change during the year can affect how much you are allowed to contribute. You generally must be covered by a high-deductible health plan without other disqualifying coverage. A spouse’s plan, a general-purpose flexible spending account, or Medicare enrollment can each reduce or end eligibility. Medicare is a common issue for people who continue working after age 65 because enrollment stops HSA contributions and may require the annual limit to be prorated. The last-month rule may allow a full-year contribution when eligibility begins late in the year, but additional requirements apply. We determine how much you were eligible to contribute and help prevent excess contributions.

You took money out of your HSA

How you use HSA funds determines whether the withdrawal is tax-free. Money spent on qualified medical expenses can be withdrawn tax-free at any age. Withdrawals for other purposes are taxable and may also face an additional penalty before a certain age. After that age, the penalty no longer applies, and the withdrawal is taxed much like a retirement account distribution. One valuable feature is that there is no deadline for reimbursing yourself. You can pay a medical bill out of pocket, keep the receipt, and withdraw the same amount tax-free years later after the account has had time to grow. We make sure withdrawals are reported correctly and that qualified expenses are not taxed by mistake.

We also help with related situations, including marketplace health insurance, retirement accounts, and itemized deductions. Or browse every income tax situation we help with.

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