Recordkeeping

Best practices for health savings account (HSA) recordkeeping

You don’t need to submit records of healthcare expenses you paid for with with your tax return, but you should keep them with your tax records in the event you are audited.

You can use the following type of records:

  • Hard-copy receipts from healthcare providers (bills from the doctor’s office or hospital, receipts from the pharmacy, etc.)
  • Bank statements from your HSA account
  • Claims information from your Anthem.com or Sydney Health app account
  • Claims information or explanation of benefit (EOB) statements from your insurance provider

Your records should be sufficient to show that:

  • HSA distributions were used exclusively to pay or reimburse qualified health expenses
  • The qualified health expenses had not been previously paid or reimbursed from another source
  • The health expenses had not been taken as an itemized deduction in any year

Save your receipts for at least three years

The IRS will generally not look back further than three years due to a statute of limitations.

Note: If the IRS suspects fraud, they will disregard the statute of limitations and look back as far as they think is necessary.

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