What Records Do I Need for HSA?

Keeping accurate records for your Health Savings Account (HSA) is crucial to ensure proper management of your healthcare expenses and tax benefits. When it comes to HSA records, there are several key documents and information that you need to keep track of:

  • Documentation of eligible medical expenses paid out-of-pocket
  • Receipts for prescription medications, co-pays, and medical treatments
  • Explanation of Benefits (EOB) statements from your insurance provider
  • Contributions made to your HSA account, including any contributions made by your employer
  • Any withdrawals or distributions taken from your HSA
  • Records of any rollover or transfer transactions between HSA accounts

By maintaining these records, you can easily substantiate your HSA transactions and demonstrate that they were used for qualified medical expenses, which is essential for tax compliance and avoiding penalties.


Maintaining accurate records for your Health Savings Account (HSA) is vital for efficiently managing both your healthcare expenses and maximizing tax benefits. You will want to keep track of various essential documents, such as receipts for eligible medical expenses that you've paid out-of-pocket.

  • Make sure to store receipts for prescription medications, co-pays, and any medical treatments you've received.
  • It’s also important to keep your Explanation of Benefits (EOB) statements from your health insurance provider for reference.
  • Document all contributions made to your HSA account, including any amounts deposited by your employer on your behalf.
  • Keep a record of any withdrawals or distributions taken from your HSA account.
  • Don’t forget to document any rollover or transfer transactions that occur between different HSA accounts.

By retaining these crucial records, you’ll have the evidence you need to verify your HSA transactions and show they were utilized for qualified medical expenses, ensuring compliance with tax regulations and safeguarding yourself from potential penalties.

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