How Do I Prove What I Spend My HSA On?

Proving what you spend your HSA (Health Savings Account) funds on is essential for proper record-keeping and compliance. Here are some ways to effectively document your HSA expenditures:

1. Keep Receipts and Invoices:

Retain all receipts and invoices for medical expenses paid using your HSA funds. These documents serve as proof of purchase and are crucial in case of an audit or verification.

2. Use HSA Debit Card or Checks:

When making eligible purchases, use your HSA debit card or write checks directly from your HSA account. This creates a clear transaction trail that can easily be tracked.

3. Maintain Detailed Records:

Keep a detailed log or spreadsheet of all HSA transactions, including dates, vendors, descriptions of services, and amounts spent. This thorough record-keeping adds an extra layer of credibility to your spending.

4. Cross-Reference with Explanation of Benefits:

Compare your receipts and invoices with the Explanation of Benefits (EOB) provided by your health insurance company. This helps validate the services received and the corresponding payments made.

5. Consult with a Tax Professional:

If you have any doubts about what can be considered eligible HSA expenses or how to properly document your spending, seek advice from a tax professional or financial advisor. They can offer guidance tailored to your specific situation.

By following these steps and maintaining organized records, you can easily prove what you spend your HSA funds on and ensure compliance with IRS regulations.


When it comes to proving your HSA expenditures, meticulous record-keeping is not just wise; it's critical for compliance purposes. Here’s how to effectively document your HSA spending:

1. Retain All Receipts and Invoices:

Always keep receipts and invoices for every medical expense paid with your HSA funds. These documents act as your proof of purchase and are invaluable during audits or any verification process.

2. Opt for HSA-Specific Debit Card or Checks:

Using your HSA debit card or writing checks directly from your HSA account when making qualified purchases establishes a definitive transaction record.

3. Keep an Organized Log:

Maintain a comprehensive log or spreadsheet detailing all HSA transactions, including the date, vendor, description of the service, and amounts spent. This level of detail enhances your credibility when proving expenses.

4. Verify with Explanation of Benefits:

Always cross-reference your receipts and invoices against the Explanation of Benefits (EOB) from your health insurer. This not only helps validate services received but also confirms corresponding payments.

5. Seek Professional Advice:

If you're unsure about what qualifies as an eligible HSA expense or how best to document these expenditures, find guidance from a tax professional or financial advisor who can provide insight specific to your needs.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter