What Documents to Save for HSA Expenses?

When it comes to managing your HSA (Health Savings Account), it's crucial to keep track of your expenses and ensure you have the necessary documentation for both taxes and reimbursements. Here are the essential documents to save for HSA expenses:

1. Receipts: Keep all receipts for qualified medical expenses paid with your HSA funds. Ensure they include the date, amount, and description of the service or item purchased.

2. Explanation of Benefits (EOB): Save EOBs from your health insurance company detailing the services provided, the amount billed, and the amount covered. This helps verify your expenses for reimbursement purposes.

3. Invoices and Bills: Keep invoices and bills from healthcare providers as proof of payment for medical services or supplies that you plan to claim as HSA expenses.

4. Prescription Information: Maintain records of prescriptions as they are considered qualified medical expenses. Include details such as prescriptions, dates, and the amount paid.

5. Mileage Logs: If you incurred mileage expenses for medical appointments or services, maintain a log with dates, locations, and mileage driven to claim these expenses.

Remember, keeping accurate and organized records of your HSA expenses is crucial for tax reporting and potential audits. By saving the right documents, you'll simplify the process of substantiating your eligible expenses for your HSA.


Managing your HSA (Health Savings Account) efficiently means being diligent about your expenses and preserving the critical documentation required for both tax and reimbursement processes. Here's an expanded list of documents you should ensure to save for your HSA expenses:

1. Receipts: Always keep all receipts related to qualified medical expenses paid through your HSA funds. Be sure they clearly show the date of purchase, the amount paid, and a detailed description of the service or product acquired.

2. Explanation of Benefits (EOB): Retain all EOBs from your health insurance provider as they outline the services rendered, amounts billed, and portions covered. This documentation serves as a reliable backup for verifying your expenses when seeking reimbursement.

3. Invoices and Bills: Keep track of invoices and bills from healthcare providers. These serve as irrefutable proof of payments made for medical services or supplies, which you plan on claiming as HSA eligible expenses.

4. Prescription Records: It's also essential to keep a record of any prescriptions obtained, as they qualify as medical expenses. Ensure your records indicate the specific prescriptions, date filled, and amount paid.

5. Mileage Logs: If you've traveled for medical appointments or services, maintain a comprehensive mileage log indicating the date, location, and total mileage driven. This can help you claim these travel-related expenses on your HSA.

6. Health Care Plan Documents: Fundamental health care plan documentation is essential. It offers insights into what is considered an eligible expense, helping you stay informed!

7. Communication Records: Save any correspondence with your health insurance company regarding claims or coverage issues. Keeping these on hand can support any questions during audits.

8. Telehealth Documentation: In our increasingly digital world, keep records of telehealth consultations, as they may also be eligible for HSA reimbursement.

9. Health Care Flexible Spending Account (FSA) Documents: If you have both HSA and FSA, save these documents to ensure expenses aren't reimbursed from two sources.

10. Tax Documents: It's vital to keep any tax forms that involve your HSA, such as Form 8889. This form reports your HSA contributions and distributions.

11. Employer Contribution Statements: If your employer contributes to your HSA, retain any statements detailing these contributions.

12. Record of HSA Distributions: Maintain accurate records of all distributions made from your HSA, detailing dates, amounts, and reasons for withdrawal.

In essence, being meticulous about maintaining organized and accurate documentation of your HSA expenses is paramount for your tax returns and reduces hassle during potential audits. Keep the right records, and you'll ensure an easier experience in substantiating your eligible HSA expenses.

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