How do I keep track of my HSA expenses?

Asked by: Bailey Lowe  |  Last update: December 19, 2023
Score: 4.3/5 (53 votes)

The IRS requires that you maintain records of your HSA purchases. TrackHSA.com 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.

Do I need to track HSA expenses?

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 organize my HSA receipts?

Here are a few simple tips to get you organized in no time.
  1. Learn what eligible medical expenses are. It sounds obvious, but before you go off and spend your HSA funds, make sure you understand what you can and cannot spend the money on. ...
  2. Hold onto every receipt and statement. ...
  3. Create digital and physical file folders.

Do I need 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.

Does the IRS monitor HSA accounts?

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 is the Best Way to Keep Track of HSA Expenses?

23 related questions found

What happens if I don't use my HSA for medical expenses?

If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

What is the best app for tracking HSA funds?

Budgeting apps like Mint, Personal Capital, YNAB, and Lunch Money include features to label and sort transactions using categories or tags. If you can accurately tag every HSA-eligible purchase, your software can help automatically keep track of reimbursements for you.

What should be on HSA receipt?

All receipts should include the amount paid, who it was paid to (payee's name or code), and the date of the transaction. Some purchases require a letter of medical necessity or prescription in order to be eligible.

Do HSA receipts expire?

Stay prepared for an IRS audit by saving HSA receipts for up to 7 years. You'll also want to maintain records of any deductions claimed on your tax return.

Can I submit receipts to HSA?

And while it isn't required that you submit receipts to be reimbursed from your HSA, we recommend it in case of an IRS audit.

Should I reimburse myself from HSA?

Reimbursing yourself now means less money for retirement

It's hard to say more choices are bad, but allowing your money to grow may be better. Healthcare will be one of your biggest expenses in retirement. By investing your HSA money now, you could end up with more options when you need it most.

Do HSA accounts follow you?

Your HSA is your account

This account doesn't belong to your employer, so you get to take it with you wherever you go, even if your new employer doesn't offer HSAs or provide HSA contributions.

Can you use your HSA to pay rent?

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 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.

How far back can HSA be audited?

The math of how long you should save your HSA records include the year the expenses were made, three years for the first audit window, and three years for the second audit window. Save the receipts for a total of seven years. Scenario 2: Save receipts and reimburse yourself later tax free.

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).

What tax documents do I need for my HSA?

Visit the Statements and Tax Forms page in your profile to access them now.
  • File form 1099-SA to report distributions from an HSA.
  • File form 5498-SA to report contributions to an HSA.
  • File form 8889 to report your HSA contributions and distributions.
  • Refer to form W-2 for your HSA contributions.

Who monitors my HSA account?

Financial organizations are not responsible to monitor if HSA owners use their HSA for qualified medical expenses or not; HSA owners are responsible for tracking and maintaining proof of this. Remember, too, that an HSA owner is entitled to reimburse herself for medical expenses she paid out-of-pocket.

Is the money in my HSA mine?

All of the money in the account goes with you, even if it was contributed by your employer. This is an advantage of HSAs over FSAs, as the opposite is true with an FSA (if you leave your job with money left in an FSA, the money belongs to the employer).

How do I link my HSA to my bank account?

Connecting your bank account to your Health Savings Account
  1. Log into your account through the Consumer Portal, or on the HSA Central Mobile App.
  2. Under Accounts, find I Want To, then Reimburse Myself.
  3. In the Create Transaction section, select the Add Bank Account link.

Can you 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 to pay off medical bills?

An HSA can help you maintain physical and financial health by providing a tax-free way to save and pay for medical expenses, including medical debt that has gone to collections.

Why not to do an HSA?

The main downside of an HSA is that you must have a high-deductible health insurance plan to get one. A health insurance deductible is the amount of money you must pay out of pocket each year before your insurance plan benefits begin.

Can I buy vitamins with HSA?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

Can HSA be used for hotel expenses?

So long as the lodging is primarily for, and essential to receiving medical care which is being provided by a doctor in a licensed hospital or in a medical care facility related to a licensed hospital, the lodging is eligible for reimbursement with a consumer-directed healthcare account.