How Long to Keep Medical Receipts for HSA: Understanding the Guidelines

Keeping track of your medical receipts is an essential part of managing your Health Savings Account (HSA). It's crucial to know how long you should hold on to these documents for various reasons, including tax purposes and potential audits.

So, how long should you keep medical receipts for your HSA?

The duration for storing medical receipts for HSA can vary depending on several factors. Here are some guidelines to help you determine the timeframe:

  • General Rule: It is recommended to keep your medical receipts for at least three to seven years.
  • IRS Requirements: The Internal Revenue Service (IRS) suggests keeping medical receipts for at least three years from the date you filed your tax return, which is the time frame for audit purposes.
  • Documentation of HSA Expenses: Since HSA funds can be used for qualified medical expenses tax-free, it's essential to retain receipts that validate these expenses.
  • Flexible Spending Account (FSA) Rollover: If you have an FSA and are rolling over the funds into an HSA, keep the receipts for the transferred expenses.

By following these guidelines, you can maintain proper documentation for your HSA and stay prepared for any potential audits or inquiries.


Managing your Health Savings Account (HSA) effectively means knowing how to keep track of essential documents such as medical receipts. Retaining these receipts not only helps during tax season but also provides peace of mind in case of an audit.

So, how long should you keep medical receipts for your HSA?

While the general rule is to keep them for three to seven years, understanding the specific guidelines can help you stay organized and compliant:

  • General Rule: Aim to hold onto your medical receipts for a minimum of three years and up to seven years for safe measure.
  • IRS Requirements: According to the IRS, you should keep your medical receipts for at least three years from your tax filing date to protect yourself during audits.
  • Documentation of HSA Expenses: It’s crucial to keep receipts that justify your tax-free HSA withdrawals for qualified medical expenses - these can be invaluable during tax time.
  • FSA to HSA Transfers: If your Flexible Spending Account (FSA) funds roll over into your HSA, ensure you retain all corresponding receipts for those medical expenses.

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