Do You Need to Keep Receipts from HSA Spending?

If you have a Health Savings Account (HSA), you may wonder whether you need to keep receipts from your HSA spending. Keeping track of your HSA transactions is important for several reasons.

When it comes to HSA spending, you don't necessarily need to keep receipts, but it's highly recommended that you do so. Here's why:

  • Verification: Keeping receipts helps verify that your spending is eligible under HSA guidelines.
  • Audit Trail: It creates a clear audit trail in case of a potential audit by the IRS or your HSA provider.
  • Proof of Payment: Receipts serve as proof of payment for medical expenses, which may be needed for reimbursement.
  • Tax Purposes: Documentation of expenses may be required for tax purposes to prove that the withdrawals were used for qualified medical expenses.

In case you're wondering how long to keep these receipts, it's recommended to retain them for at least three years after filing your tax return. This timeframe aligns with the statute of limitations for tax audits.

While keeping receipts is not mandatory, it's a good practice to maintain proper records of your HSA transactions. It ensures compliance with HSA regulations and provides peace of mind in case of any future inquiries.


When managing a Health Savings Account (HSA), the question of whether you should keep receipts for your HSA spending often arises. While it's not a strict requirement, holding onto those receipts is definitely a smart move. Here’s why you should consider doing it:

  • Verification: Receipts provide essential proof that your spending aligns with HSA eligibility rules.
  • Audit Trail: A comprehensive record can be invaluable during any future IRS audits or inquiries from your HSA provider.
  • Proof of Payment: These documents confirm that you paid for qualified medical expenses, which can facilitate reimbursements if needed.
  • Tax Purposes: For tax reporting, having documented proof of your HSA withdrawals being used for qualified expenses can shield you during tax season.

Typically, it's advisable to keep these receipts for at least three years post-tax filing, given the IRS's audit timeframes. This can lead to peace of mind, knowing that you’ve complied with all necessary regulations.

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