Do I need to save receipts for HSA?

Asked by: Prof. Mossie Fisher  |  Last update: September 6, 2023
Score: 4.2/5 (15 votes)

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.

How long do I have to keep receipts for HSA?

Hold onto every receipt and statement

You want to hold onto all those HSA records as long as your tax return is considered "open," which is about three years after you file, or as long as you have your HSA account.

What kind of receipt do I need for HSA?

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.

Do you have to prove HSA expenses?

Is there an expense verification process like an FSA or HRA? Verification of expenses is not required for HSAs. 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.

What is HSA receipt loophole?

Again, you don't have to reimburse yourself for those medical expenses in the same year, or the same plan year that you incur those medical expenses. If you incur that medical expense, you can just write it down. And then you can reimburse yourself from the HSA at a later date.

What is the Best Way to Keep Track of HSA Expenses?

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What happens if you accidentally pay for something with HSA?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

How far back can I go for HSA reimbursement?

There's no deadline for HSA reimbursements

According to the IRS, there is no time limit for paying yourself back, but there are some rules (we'll explain more below).

What should I save for HSA reimbursement?

Save Your Medical Receipts

If you have an HSA, you have the choice to pay for medical expenses out of pocket and instead let your HSA balance grow. If you make this decision, save your medical receipts as any qualified medical expenses incurred are eligible for reimbursement in future years.

What happens if I buy something not covered by my HSA?

Before you sign up, however, it's important to understand that the money in these accounts may only be used for HSA qualified expenses. If you spend the money on ineligible items, expect to pay income tax and hefty penalties for your mistake.

What happens if you don't report HSA?

You must self-report any non-qualifying purchases on the Health Savings Account screen. Not claiming the non-qualifying expenses may lead to an audit, and you'll be subject to penalties and fines.

Do HSA get audited?

HSA reimbursements need matching receipts.

When using an HSA debit card, retain receipts for each transaction as those expenses will be reported to the IRS, and you could be audited.

Can I buy toilet paper with my HSA card?

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).

How do I save my medical receipts for HSA?

For physical receipts, you can scan them into your computer or use a new folder for each year's receipts to keep them somewhere safe. Remember, ink fades over time so you really do need to digitize these. You can use any storage and filing system you like for digital receipts.

Does IRS check HSA receipts?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

How do I track my HSA expenses?

The IRS requires that you maintain records of your HSA purchases. provides this proof by storing receipts for HSA purchases. If you pay for purchases out of pocket, you can track and justify the reimbursement to the IRS when it occurs.

How likely will I get audited?

For one thing, your chances statistically of being audited are not likely. The vast majority of more than approximately 150 million taxpayers who file yearly don't have to face it. Less than one percent of taxpayers get one sort of audit or another. Your overall odds of being audited are roughly 0.3% or 3 in 1,000.

Can I use HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Can I use my HSA for groceries?

Food is 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).

Can I use my HSA to pay rent?

For people who don't generally get sick or spend a lot on medical expenses, an HSA can still prove beneficial. If necessary, you can withdraw money from your HSA for non-medical things, but Hogan doesn't recommend it. If you use your HSA to pay rent or get a new dye job, you will end up being taxed.

What is the best way to maximize HSA?

Contributing the maximum annual contribution and investing for the long term is the best way to get the most benefit from your HSA. Avoid using the HSA as your emergency fund because nonqualified withdrawals are subject to ordinary taxes and possibly penalties.

How much cash should I keep in HSA?

The short answer: As much as you're able to (within IRS contribution limits), if that's financially viable. If you're covered by an HSA-eligible health plan (or high-deductible health plan), the IRS allows you to put as much as $3,850 per year (in 2023) into your health savings account (HSA).

Should I put a lot of money in HSA?

If you're able, consider contributing the maximum allowed by the IRS. The more you can contribute, the more you can benefit from the HSA's potential triple tax advantages1. Keep in mind: you don't lose any unspent funds at the end of the year. Your HSA can be used now, next year or even when you're retired.

Can I use my HSA to pay a bill that occurred 2 years ago?

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

Does HSA money ever expire?

Your HSA contributions don't expire. The money stays in the HSA until you use it. expenses for your spouse and dependents, even if your high deductible health plan doesn't cover them. ∎ HSA doesn't go away if job changes.

Can you use HSA on DoorDash?

Summary: DoorDash is making it easier than ever to submit your qualified health purchases for reimbursement through your HSA or FSA account via HSA/FSA receipt reimbursement. Upon completing an order containing HSA/FSA eligible items, you will receive an email receipt with your HSA/FSA eligible items highlighted.