Do you add medical expenses where you used your HSA card to pay for them?

No---that would be double dipping.  The HSA money was pre-tax.

You can enter out of pocket medical expenses you paid in 2024.

MEDICAL EXPENSES

The medical expense deduction has to meet a rather large threshold before it can affect your return. The amount of medical (including dental, vision, etc.)  expenses that will count toward itemization is the amount that is OVER 7.5% of your adjusted gross income. You should only enter the amount that you paid in 2024—do not include any amounts that were covered by insurance or that are still outstanding.  Of course, your medical expenses plus your other itemized deductions still have to exceed your standard deduction before you will see a difference in your tax due or refund.

To enter your medical expenses go to Federal>Deductions and Credits>Medical>Medical Expenses

2024 STANDARD DEDUCTION AMOUNTS

SINGLE $14,600    (65 or older/legally blind + $1950)

MARRIED FILING SEPARATELY            $14,600    (65 or older/legally blind + $1550)

MARRIED FILING JOINTLY $29,200    (65 or older/legally blind + $1550)

HEAD OF HOUSEHOLD $21,900    (65 or older/legally blind + $1950)

If you are itemizing medical expenses on your 2024 tax return, when TurboTax asks you to enter your medical expenses, make sure to enter an item of Other expenses equal to the amount distributed from the HSA in 2024 to pay for qualified medical expenses.  TurboTax automatically subtracts the amount of an HSA distribution used for medical expenses when determining the amount of medical expenses to include on Schedule A.