Do I have to submit receipts for HSA purchases?
Asked by: Jana Kertzmann | Last update: October 4, 2025Score: 4.1/5 (9 votes)
Do you have to keep receipts for HSA purchases?
As for what HSA documents to keep, hold onto: HSA purchase receipts, HSA account statements, employer contributions, and documents that explain services or products you've paid for.
Do I have to report HSA purchases?
Form 8889 is submitted with your tax return via Form 1040 or Form 1040-SR to report a distribution from the account, even if it's not taxable. If you took a taxable distribution from your HSA, this is where you report that. You also report contributions and any deductions related to your HSA on this form.
Does IRS check HSA receipts?
However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.
What proof do I need for HSA reimbursement?
For FSAs, HSAs, and some HRAs, a detailed provider receipt or itemized cash register receipt is usually sufficient, if it contains all the required information listed above. For some HRAs, an Explanation of Benefits (EOB) from your insurance company is required.
I'm Worried About Keeping Receipts for the Next 25-30 Years for My HSA
What triggers an HSA audit?
Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.
What is HSA receipt loophole?
The Adult Child HSA Family Contribution Loophole
That's why you can do things like save receipts for decades and then pull the money out of the account. That's why you can use it as a stealth IRA by investing in it for decades and then pulling it out after age 65 penalty-free and buying a sailboat with it.
How do I prove HSA expenses?
Essentially, any money that comes out of your HSA must have a receipt showing it was for an eligible medical expense. You may face a 20% penalty on any distribution that you cannot prove was for a qualified medical expense.
How does HSA know what I buy?
Because HSA administrators don't track the purchases employees make with their HSA, employees should make it a habit to save receipts for all HSA-eligible goods and services, so they can easily reimburse themselves when they are ready, or when they need the money.
How far back can I go for HSA reimbursement?
There's no deadline for HSA reimbursements
There are lots of reasons to love your HSA, and here's one more — you can reimburse yourself for expenses years after they occurred. According to the IRS, there is no time limit for paying yourself back, but there are some rules (we'll explain more below).
What if I accidentally used my HSA card for groceries?
If you catch the transaction early enough, you might even be able to contact the retailer and ask them to reverse the charge and fill it on a new card. If you bought something in person, you can also return it to the store and then buy it again with a different card.
What happens if you spend HSA money wrong?
If you've mistakenly used HSA funds for nonqualified expenses, you must repay the distribution amount back into your HSA by the tax filing deadline for the year in which the distribution occurred. By reimbursing your HSA, you can avoid the income tax and the 20% penalty on nonqualified distributions.
Is a gym membership a qualified HSA expense?
Gym memberships. While some companies and private insurers may offer discounts on gym memberships, you generally can't use your FSA or HSA account to pay for gym or health club memberships. An exception to that rule would be if your doctor deems fitness medically necessary for your recovery or treatment.
What happens if I buy something not covered by my HSA?
Be very careful not to use your HSA debit card or checks on non-eligible purchases. If you spend your HSA funds on unqualified expenses, whether intentionally or by accident, the transaction will go through, and you'll have to pay income tax on the amount.
How do I reimburse myself from HSA?
As long as you opened your HSA before the expense was incurred, your reimbursement will be tax-free. You can: Transfer money online from your HSA to your personal bank account using an electronic funds transfer (EFT) Mail yourself a check through the transfer money feature.
Do you have to submit receipts for HSA Fidelity?
Finally, attach your completed Form 8889 to your federal tax return. You don't need to send in receipts to prove your HSA funds were spent on qualified medical expenses, but you should keep them for your records for at least 3 years in case you are audited.
Does HSA spending get audited?
It is important to keep the receipts to prove that the payment was indeed for a qualified medical expense in case of an audit. HSA spending may be subject to IRS audit. Even if HSA funds were used for qualified medical expenses, the IRS may ask for proof that the funds were spent correctly.
What is the downside of an HSA?
Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).
What happens if I buy something with HSA card?
When you use it to pay for an expense, the money will be withdrawn directly from your HSA. However, you should always save all your receipts in one organized place (like the HSA Store Expense Dashboard) to have a record of how you've used your HSA funds — in case the IRS ever audits you.
Do I need to keep receipts for HSA purchases?
Always save your receipts and supporting documentation for your records. While Benefit Resource will not ask you to provide a receipt for an HSA expense, you are responsible for maintaining documentation of account use in the event that you are ever audited by the IRS.
Can you buy toilet paper with HSA?
Toiletries are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).
Do you have to report HSA spending?
You must report distributions from your HSA on IRS Form 8889. You will receive a separate 1099-SA for each type of distribution made during the tax year. The five distribution types are 1) normal; 2) excess contribution removal; 3) death; 4) disability; and 5) prohibited transaction.
What happens if you accidentally pay for something with HSA?
After you report the mistake to the custodian, the custodian reports it to the IRS. Reimburse the HSA. If you've mistakenly used HSA funds for nonqualified expenses, you must repay the distribution amount back into your HSA by the tax filing deadline for the year in which the distribution occurred.
Can I get in trouble for using HSA money?
When health savings accounts aren't used for their intended purposes, account holders are often assessed penalties. When an account holder under the age of 65 uses their health savings account's funds for non-medical expenses, they have to pay income tax on the money spent plus a 20-percent penalty.
How far back can you submit HSA reimbursement?
4. There is no time limit on HSA reimbursements. This fact is the primary key to unlocking the true potential of the HSA. Because there is no reimbursement time limit, taxpayers can wait until the time of their choosing to be reimbursed from the HSA for medical expenses, even if it is years or decades later.