Do I Need to Keep Receipts for Expenses Paid for from an HSA?

One common question that arises when using a Health Savings Account (HSA) is whether it is necessary to keep receipts for expenses paid for using the account.

The short answer is: yes, it is important to keep receipts for expenses paid for from an HSA.

Here are some reasons why:

  • Documentation for Tax Purposes: Keeping receipts helps in providing documentation in case of an audit by the Internal Revenue Service (IRS).
  • Required by Law: The IRS requires you to keep records of your HSA expenses to ensure they are qualified medical expenses.
  • Verification of Eligible Expenses: Having receipts on hand enables you to easily verify that the expenses you have paid for are eligible for reimbursement from your HSA.

Even though keeping receipts may seem like an additional task, it is crucial for maintaining the integrity of your HSA and ensuring compliance with IRS regulations.


When managing a Health Savings Account (HSA), one common concern is whether it’s necessary to hold onto receipts for expenses covered by the account. The simple answer is yes, retaining those receipts is important.

Here’s why keeping track of your HSA receipts is vital:

  • Tax Documentation: Properly stored receipts serve as crucial documentation in the event of an IRS audit, ensuring all your HSA-related expenses are accounted for.
  • IRS Compliance: The IRS mandates that you keep records of your HSA transactions to confirm they qualify as medical expenses.
  • Ease of Verification: Having your receipts handy ensures you can quickly verify that any expenses you're claiming are eligible for reimbursement from your HSA.

While managing receipts may seem like a hassle, it is essential for safeguarding your HSA funds and complying with federal regulations.

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