Do You Have to Save Receipts for Monthly HSA Expenses?

Having a Health Savings Account (HSA) can be a great way to save money for medical expenses while enjoying tax benefits. One common question that arises with HSAs is whether you need to save receipts for monthly expenses. Let's delve into this topic and provide some clarity.

When it comes to saving receipts for monthly HSA expenses, it is not a strict requirement by the IRS. However, keeping track of your medical expense receipts can be beneficial in certain situations:

  • It can serve as a record of your medical spending, which may be useful for budgeting purposes.
  • If you are ever audited by the IRS, having receipts can help substantiate your HSA withdrawals as qualified medical expenses.
  • Some HSA providers may recommend or require keeping receipts as part of their policy.

On the other hand, not saving receipts may not pose a problem as long as you can prove that your HSA withdrawals were used for qualified medical expenses if needed.

Ultimately, the decision to save receipts for monthly HSA expenses lies with the account holder. It is a good practice to keep receipts organized in case they are needed in the future, but it is not mandatory.


Having a Health Savings Account (HSA) can offer significant financial benefits for managing healthcare expenses. While it’s not a strict rule set by the IRS to save receipts for your monthly HSA expenditures, having them on hand could really pay off in the long run.

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