Do You Need a Receipt and an EOB for HSA? - Understanding the Importance of Documentation for Your Health Savings Account

Having a Health Savings Account (HSA) can be a great way to save for healthcare expenses while enjoying tax benefits. One common question that arises for HSA users is whether they need a receipt and an Explanation of Benefits (EOB) for their HSA transactions. The short answer is yes, documenting your expenses with receipts and EOBs is important for maintaining the integrity of your HSA.

When it comes to using your HSA funds, keeping thorough records is essential. Here's why having receipts and EOBs is crucial:

  • Receipts serve as proof of your eligible medical expenses.
  • EOBs provide details about the services you received and the amount covered by your insurance.
  • Having proper documentation can help you avoid potential audits and ensure compliance with IRS regulations.

While it may feel like extra work to keep track of receipts and EOBs, the benefits far outweigh the effort. By maintaining accurate records, you can confidently use your HSA funds knowing that you have the necessary documentation to support your expenses.

Remember, your HSA is meant for qualified medical expenses, and having receipts and EOBs demonstrates that your withdrawals align with these expenses. So, the next time you make a healthcare purchase, be sure to hold onto your receipts and EOBs to keep your HSA in good standing.


When managing your Health Savings Account (HSA), it’s vital to understand that receipts and EOBs play a significant role in maintaining accurate records. These documents not only confirm your eligible medical expenses but also streamline the process in case of an IRS audit.

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