How Long Should I Keep Health Receipts for HSA Taxes?

Keeping track of your health receipts for HSA taxes is crucial for maximizing your savings and ensuring compliance with IRS regulations. But how long should you hold onto these documents?

It's recommended to keep your health receipts for HSA taxes for at least three years. This is the typical timeframe for IRS audits, and having your receipts handy can help substantiate any medical expenses claimed on your taxes.

However, there are a few scenarios where you may want to hold onto your health receipts for longer:

  • If you've used your HSA funds to pay for medical expenses that could be questioned by the IRS.
  • If you've made non-qualified purchases with your HSA funds and need to calculate any associated taxes and penalties.
  • If you anticipate disputes with insurers or providers over past medical bills.

Remember to keep your receipts in a safe and easily accessible place, such as a designated folder or digital storage system.


Keeping track of your health receipts for HSA taxes is not just a good practice; it's vital for optimizing your financial health. How long should you really keep these essential documents?

Generally, the recommendation is to keep your health receipts for HSA taxes for at least three years. This is important because the IRS can audit your tax returns within this period, and having your receipts can make the process much smoother.

There are some situations where it's wise to hold onto your health receipts for extended periods:

  • For instance, if you've accessed your HSA funds for medical expenses that might raise eyebrows at the IRS, having clear proof can protect you.
  • If you’ve spent HSA money on non-qualified purchases, you may need your receipts to evaluate any potential taxes or penalties that could arise.
  • In scenarios where you predict disputes with insurers or medical providers regarding previous bills, having those receipts handy can save time and trouble.

To stay organized, consider safe storage solutions like a designated folder, physical file, or a digital storage system like cloud storage. This way, you'll always have access when you need it.

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