What HSA Records to Keep?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while saving for the future. To maximize the benefits of your HSA, it is essential to keep accurate records of your transactions and medical expenses. Here are the HSA records you should keep:

  • Contribution records: Keep track of all contributions made to your HSA, whether from your employer or yourself.
  • Distribution records: Record any withdrawals or distributions made from your HSA for eligible medical expenses.
  • Receipts: Save all receipts for qualified medical expenses paid using your HSA funds.
  • Explanation of Benefits (EOB): Keep copies of EOBs from your health insurance provider to reconcile with your HSA transactions.
  • Medical bills: File and retain any medical bills that you have paid out of pocket and plan to reimburse yourself from your HSA.
  • Investment statements: If you have invested your HSA funds, keep records of your investment statements and transactions.
  • Documentation of qualified expenses: Include detailed descriptions of medical services or products you have purchased with your HSA funds.
  • Correspondence: Maintain any correspondence related to your HSA, such as account statements or communication with your HSA provider.

By keeping thorough records of your HSA transactions and medical expenses, you can ensure compliance with IRS regulations and substantiate the tax-advantaged use of your HSA funds.


Health Savings Accounts (HSAs) not only help you save for future healthcare needs but also provide tax advantages that can enhance your overall financial wellness. Keeping accurate records of your transactions is crucial to getting the most out of your HSA. Here’s a comprehensive list of essential HSA records to maintain:

  • Contribution records: Document every contribution you make to your HSA, whether it’s through payroll deductions from your employer or your own contributions, to monitor your progress toward your savings goals.
  • Distribution records: Track all withdrawals or distributions from your HSA, especially those made for qualified medical expenses, to ensure good financial management.
  • Receipts: It’s important to save all receipts for qualified medical expenses covered with your HSA, as these will help validate your tax-free withdrawals later on.
  • Explanation of Benefits (EOB): Keep a file of EOBs from your health insurance provider which can help you reconcile any discrepancies with your HSA transactions.
  • Medical bills: Make sure to file any out-of-pocket medical bills that you have incurred and plan to reimburse yourself from your HSA in the future.
  • Investment statements: If you have opted to invest some of your HSA funds, don’t forget to maintain records of all investment statements and transactions.
  • Documentation of qualified expenses: A detailed record of all medical services or products purchased with HSA funds can safeguard you against any potential IRS scrutiny.
  • Correspondence: Retain any communication with your HSA provider and account statements which may be needed for reference.

With meticulous record-keeping of your HSA transactions, you not only comply with IRS regulations but also enhance your ability to maximize the tax-advantaged potential of your HSA funds.

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