Do I Need to Save Receipts for Expenses Paid for with an HSA?

Many people wonder whether they need to save receipts for expenses paid for with a Health Savings Account (HSA). The answer is simple: yes, you should keep all your receipts for any expenses paid using your HSA funds. It's important to maintain proper documentation for several reasons.

One key reason to save receipts is for auditing purposes. The Internal Revenue Service (IRS) requires that you keep records of all HSA transactions to ensure that the funds are used for qualified medical expenses only. Failure to provide documentation during an audit can result in penalties and taxes on the withdrawn amount.

Additionally, keeping receipts is essential for tracking your healthcare expenses and monitoring your HSA balance accurately. By saving receipts, you can reconcile your expenditures with your account statements and identify any discrepancies or unauthorized charges.

Moreover, having records of medical expenses is beneficial for future reference. You may need to verify past healthcare payments for insurance claims, tax deductions, or reimbursement from your HSA at a later date. Without proper documentation, it can be challenging to prove the legitimacy of your expenses.

Remember, storing receipts digitally is also acceptable as long as they are accessible and organized. Utilize apps or cloud storage services to maintain an electronic record of your HSA receipts for easy retrieval when needed.


It's crucial to save receipts for every purchase made with your Health Savings Account (HSA) as they serve as proof of your medical expenses, which is a requirement established by the IRS.

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