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Kennedy Morrison

Can I Scan and Discard Original Receipts for Future HSA Reimbursement?

I've been building up a decent amount in my HSA account and plan to save receipts for qualified medical expenses that I might want to reimburse myself for years down the road. My question is pretty straightforward - is it acceptable to scan these receipts and throw away the originals? I've already got a stack of pharmacy receipts, doctor visit copays, and prescription slips that's getting unwieldy. I really don't want to keep a shoebox full of fading paper receipts for the next decade, but I also don't want to get in trouble if I ever need to prove these expenses to the IRS. Does anyone know if digital copies are sufficient for HSA reimbursement documentation?

Yes, you can absolutely scan your receipts for HSA reimbursement purposes! The IRS accepts digital copies of receipts as valid documentation for tax purposes, as long as they're legible and contain all the required information. For HSA expenses specifically, make sure your scanned receipts clearly show: the date of service, description of the medical service/product, the provider/merchant name, and the amount paid. Keep in mind that some receipts fade quickly, so scanning them promptly is actually a good preservation strategy. I recommend creating a simple digital filing system - maybe folders by year, then by category (prescriptions, doctor visits, etc.). Also, make sure you're backing up these digital copies somewhere secure - cloud storage with encryption is ideal since you might need these receipts years down the road.

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What about prescription receipts that don't always clearly state what the medication is for? Will I need additional documentation to prove it was for a medical condition?

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For prescription receipts, you generally don't need documentation stating what the medication is for - the fact that it required a prescription is usually sufficient evidence that it's for a medical purpose. However, if you're concerned, it never hurts to ask your pharmacy to include the medical purpose on the receipt, or keep a doctor's note/prescription that shows the condition being treated. This is especially helpful for medications that could potentially be used for both medical and non-medical purposes. Better safe than sorry when it comes to potential IRS questions years down the road!

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I went through this exact same dilemma last year when my receipt drawer was overflowing! Ended up trying a few methods before finding the perfect solution. I discovered taxr.ai (https://taxr.ai) which has been a game-changer for HSA documentation. Their system not only lets you scan receipts but actually extracts and categorizes all the important information like date, provider, amount, and type of medical expense. What I love most is that it tags everything as an HSA-eligible expense automatically, so when I do decide to reimburse myself years later, I can just pull up the exact documentation I need without digging through folders. It's especially helpful for those weird edge cases like certain OTC medicines or supplies where the IRS might question eligibility.

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Does it work with older receipts too? I've got stuff from like 2-3 years ago that I haven't submitted for reimbursement yet but plan to eventually.

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I'm skeptical about these types of services. How do you know they'll still be around in 5-10 years when you actually need those receipts? What happens to your data if they shut down?

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Yes, it absolutely works with older receipts! You can backdate entries and scan in receipts from previous years. I uploaded about 2 years worth of receipts when I first started using it, and it processed everything perfectly, even some faded ones I was worried about. As for longevity concerns, that's actually why I chose this service - they allow you to export everything as PDFs with all the information attached, so even if they disappeared, I'd still have all my documentation saved locally and in my own cloud storage. Think of it as the processing tool rather than the sole storage location. I do regular exports just for peace of mind.

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Wanted to follow up about that taxr.ai service I was skeptical about. Well, I gave it a try after my HSA administrator questioned some of my reimbursement requests from last year. I had scanned receipts but they weren't organized well and some were hard to read. The service automatically enhanced my faded receipts and organized everything by IRS categories. Just used their documentation for my HSA dispute and got approved for all my reimbursements! Honestly shocked at how well it worked - saved me from losing about $900 in questioned medical expenses.

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If you're dealing with HSA reimbursements and ever need to actually call the IRS with questions (which I had to do), I highly recommend using Claimyr (https://claimyr.com). I spent DAYS trying to get through to a human at the IRS to clarify some HSA reimbursement rules after my tax software flagged an issue. It was impossible - either endless hold times or disconnects. I found this service that basically holds your place in line with the IRS and then calls you when an agent is available. You can see how it works here: https://youtu.be/_kiP6q8DX5c. I was super confused about HSA receipt requirements for some dental work that was partially cosmetic, and needed an official ruling. They got me connected to an actual IRS agent in about 45 minutes instead of the 3+ hours I was experiencing.

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How does this even work? The IRS phone system is horrible - I don't understand how they can hold your place in line?

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Yeah right. Sounds like a scam to me. There's no way they have special access to the IRS that regular people don't have. The IRS treats everyone equally poorly lol.

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It works through an automated system that navigates the IRS phone tree and stays on hold so you don't have to. It's basically like having a digital assistant wait on hold for you. Once they reach a human agent, they call you and connect you directly to that agent. No magic trick - just technology handling the frustrating waiting part. The service doesn't have "special access" to the IRS - they're just using technology to handle the hold time. Think of it like having someone else physically sit and wait on hold for you, except it's automated. They don't skip the line or anything dishonest - they just wait in line for you so you can go about your day until an agent is available.

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Need to admit I was completely wrong about Claimyr. After posting that skeptical comment, I had a major issue come up with my HSA where the administrator claimed I hadn't provided proper documentation for about $2,300 in medical expenses from 2 years ago. I needed clarification on exactly what documentation was required according to IRS rules, not just my HSA administrator's interpretation. Tried calling the IRS directly first - spent 2.5 hours on hold before getting disconnected. Out of desperation, I tried Claimyr. Got a call back in 37 minutes with an actual IRS agent on the line who clarified exactly what documentation I needed for older HSA expenses. Turns out my HSA administrator was incorrectly requiring more documentation than the IRS actually requires. Saved those reimbursements and a massive headache!

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Just my two cents as someone who's been audited before (not for HSA stuff specifically, but still): scan at the highest resolution possible and make sure it's in color. Some receipts have security features that only show up in color scans. Also, don't just save them on your computer - have a backup somewhere else too. I learned the hard way when my laptop died and I lost a bunch of tax documents.

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Is there a specific file format that's better for long-term storage? Like is PDF better than JPEG for receipts?

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PDF is definitely better than JPEG for long-term storage of receipts. PDFs maintain their quality no matter how many times they're opened or copied, while JPEGs can degrade over time with repeated saving. Also, many PDF scanners include OCR (optical character recognition) which makes the text in your receipts searchable - super helpful when you're trying to find a specific receipt years later. Just make sure you're saving as PDF/A format if possible, as that's specifically designed for long-term archiving and will remain readable even as software changes over the years.

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Anyone use their HSA as a retirement account like me? I save all my medical receipts but don't actually reimburse myself. Plan is to let the HSA grow tax-free for decades and then reimburse myself for all these expenses in retirement. There's no time limit on when you can reimburse yourself! I've been scanning everything and keeping a spreadsheet to track it all.

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That's exactly what I do! I have a Google Sheet where I track all medical expenses with receipt reference numbers. Already have about $7,000 in expenses documented over 3 years that I can reimburse tax-free whenever I want. It's like having a secret tax-free withdrawal option in retirement!

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This is such a smart strategy! I've been doing something similar but wasn't as organized about it. Just started using a simple folder system on Google Drive with subfolders by year, then categories like "Prescriptions," "Doctor Visits," "Dental," etc. One tip I learned from my accountant: make sure you're also keeping track of any mileage for medical appointments since that's HSA-eligible too at the current IRS rate (65.5 cents per mile for 2023). I use a simple mileage app that logs the trips automatically. Also, for anyone worried about receipt quality over time - I scan mine as soon as I get home. Some thermal paper receipts from pharmacies start fading within months, so don't wait! Better to have a clear digital copy than a blank piece of paper years later when you actually need it.

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Great tip about the mileage tracking! I had no idea that was HSA-eligible. Do you need to keep any special documentation for the medical mileage, or is the mileage log from the app sufficient? Also, does it matter if you're going to a doctor that's not the closest one to your house - like if you choose a specialist that's further away for better care?

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For medical mileage, you just need to keep a log showing the date, destination (doctor's office/hospital), purpose (medical appointment), and total miles. Most mileage apps will automatically track this for you. The IRS doesn't require receipts for mileage like they do for other expenses. As for distance, you can generally deduct mileage to any qualified medical provider, even if they're not the closest to your home. If you're seeing a specialist or choosing a particular doctor for quality of care, that's completely reasonable. The IRS understands that sometimes you need to travel further for specialized medical treatment. Just make sure you're going to a legitimate medical provider and the trip is primarily for medical care. One thing to note - you can only deduct the mileage if you're not being reimbursed by insurance or your employer for travel expenses. But since you're using HSA funds, this shouldn't be an issue.

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I've been doing the digital receipt storage approach for about 4 years now and it's been a lifesaver! One additional tip that hasn't been mentioned - make sure you're also scanning any Explanation of Benefits (EOB) statements from your insurance company along with your receipts. The EOB shows what your insurance paid versus what you paid out of pocket, which can be really helpful documentation if the IRS ever questions whether an expense was truly your responsibility. I learned this the hard way when I had a complex medical procedure where the billing was split between multiple providers and dates. Also, for anyone building up that "receipt bank" for future reimbursement like some of you mentioned - remember that you can't reimburse yourself for expenses that occurred before you actually opened your HSA account. I see people get confused about this sometimes. The expense date has to be after your HSA establishment date, not just when you contributed funds to it. I keep everything in a simple cloud folder structure: Year > Month > Provider Name, and I always include the date in the filename. Makes it super easy to find specific expenses years later when I actually want to reimburse myself!

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This is incredibly helpful! I never thought about keeping the EOB statements - that makes total sense for complex procedures. Quick question: do you scan the EOBs right when you get them, or do you wait until you have the actual receipt from the provider? Sometimes there's a lag between when I get the EOB and when I actually pay my portion of the bill. Want to make sure I'm documenting everything in the right order for potential future questions.

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I scan both as soon as I receive them, even if there's a timing gap! I actually create a folder for each medical event/procedure and put both the EOB and the receipt in there once I have them. Sometimes I'll get the EOB weeks before I actually pay my portion, but having both documents together tells the complete story. For the timing issue, I just make sure my receipt clearly shows the payment date (when I actually paid) rather than the service date. The EOB shows the service date and what insurance covered, while the receipt shows when and how much I actually paid out of pocket. Together they create a complete paper trail that would satisfy any IRS questions about the expense being legitimate and actually paid by me. This approach has been super helpful for things like surgery where I might get separate bills from the hospital, anesthesiologist, and surgeon all for the same procedure date but paid on different dates.

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This thread has been incredibly helpful! I'm just getting started with HSA receipt management and had no idea about so many of these strategies. A couple quick questions for the group: 1. For those using the "HSA as retirement account" strategy - do you set any kind of annual limit on how much in receipts you accumulate? I'm wondering if there's a practical upper limit to manage, or if you just save everything regardless of amount. 2. Has anyone ever actually been audited specifically for HSA expenses? I'm curious what that process looks like and whether digital receipts held up well during the audit. 3. For prescription receipts - I've noticed my pharmacy receipt sometimes just shows generic drug names rather than brand names. Is this sufficient, or should I be requesting more detailed receipts? I'm definitely going to start scanning everything immediately rather than letting them pile up. The fading receipt issue alone makes this worth doing, even without the organization benefits!

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Great questions! I'll tackle these from my experience: 1. I don't set a specific dollar limit on receipts I save - I document everything HSA-eligible regardless of amount. Even small pharmacy purchases add up over time, and there's no minimum threshold for HSA reimbursements. I figure if it was worth paying for medical care, it's worth documenting for future tax-free withdrawal. 2. I haven't been audited for HSA expenses specifically, but I was audited a few years back for other tax issues. The IRS accepted all my scanned receipts without question - they seemed more concerned with having clear, legible documentation than whether it was paper or digital. Just make sure your scans show all the key info: date, provider, amount, and type of service. 3. Generic drug names on pharmacy receipts are totally fine! The IRS just needs to see that it was a prescription medication, not over-the-counter. Generic vs brand name doesn't matter for HSA eligibility. As long as the receipt shows it required a prescription, you're good to go. One tip I'd add: start your scanning system now even with old receipts if you have them. I went back and digitized about a year's worth of receipts when I started, and it was totally worth the time investment.

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This is such a timely thread! I'm new to HSA management and have been drowning in paper receipts for the past year. Reading through everyone's strategies has been eye-opening - I had no idea about the "HSA as retirement account" approach or that there's no time limit on reimbursements! I'm definitely going to start scanning everything immediately. My biggest concern was whether digital copies would hold up if questioned, but it sounds like the IRS is totally fine with scanned receipts as long as they're clear and complete. One quick question for the group: for those who've been doing this for a while, what's your backup strategy? I'm thinking cloud storage is the way to go, but are there any specific services you'd recommend that are particularly good for long-term document storage? I want to make sure I'm not putting all my eggs in one basket, especially since I'm planning to use the retirement strategy and might need these receipts decades from now. Also, thanks to everyone who shared specific tips about EOBs, mileage tracking, and file formats - I'm taking notes on all of this!

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Welcome to HSA receipt management! For backup strategy, I personally use a 3-2-1 approach: 3 copies of my documents, 2 different storage types, 1 offsite backup. I keep my primary files in Google Drive (encrypted), a secondary backup on an external hard drive at home, and then I also email myself a quarterly backup to a separate email account as a third layer. For long-term storage specifically, I'd recommend Google Drive or Microsoft OneDrive over services like Dropbox - they've been around longer and have stronger track records for business continuity. Both offer good encryption and have been reliable for years. You can also export everything easily if you ever need to switch services. Pro tip: create a simple naming convention now and stick to it religiously. I use "YYYY-MM-DD_ProviderName_Amount_Description" for all my files. Makes searching so much easier when you have hundreds of receipts! The retirement strategy is genuinely amazing once you get the hang of it. I've got about $12,000 in documented expenses built up over 5 years that I can withdraw tax-free whenever I want in the future. It's like a secret backdoor Roth IRA!

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This has been such a valuable discussion! As someone who just opened an HSA this year, I'm learning so much from everyone's experiences. I've been keeping paper receipts in a shoebox (literally) and realizing how unsustainable that approach is. The "HSA as retirement account" strategy is completely new to me but makes total sense - essentially building up a tax-free withdrawal option for decades from now. I'm definitely going to start implementing the scanning approach immediately. One thing I'm curious about: for those tracking medical mileage, how do you handle situations where you combine a medical appointment with other errands? Like if I stop at the pharmacy after a doctor visit, or run to the grocery store on the way home? Do you only count the direct round-trip miles to the medical appointment, or can you include the additional medical-related stops like the pharmacy? Also, I noticed someone mentioned OTC medicines being HSA-eligible in certain cases - could someone clarify when over-the-counter items qualify? I thought most OTC stuff wasn't eligible without a prescription, but I might be wrong. Thanks again to everyone for sharing their systems and experiences. This thread is going straight into my bookmarks for reference!

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Great questions! For medical mileage, you can definitely include stops at the pharmacy if it's part of the same medical trip - that's considered part of your medical care journey. However, you'd only count miles that are directly related to medical purposes. So if you go Doctor → Pharmacy → Home, that's all deductible. But if you go Doctor → Grocery Store → Home, you'd only count the miles to/from the doctor. For OTC medications, the rules changed a few years back! Since 2020, most OTC medications are HSA-eligible WITHOUT a prescription thanks to the CARES Act. This includes things like pain relievers, allergy medications, cold medicine, etc. You still need a prescription for things like vitamins and supplements (unless they treat a specific medical condition), but common OTC drugs are now fair game. The key is keeping good receipts that clearly show what you purchased. Pharmacy receipts usually categorize items as "Medicine" vs "General Merchandise" which makes it easy to identify eligible items. You're smart to start this system early in your HSA journey! Building good habits now will pay off hugely down the road when you have years of documented expenses ready for tax-free withdrawal.

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This thread has been incredibly helpful for someone just starting to get serious about HSA management! I've been keeping receipts in a manila folder system, but after reading about the fading thermal paper issue and everyone's digital organization strategies, I'm convinced it's time to go fully digital. One question I haven't seen addressed yet: what about receipts for things like contact lenses or reading glasses purchased online? I buy my contacts in bulk from an online retailer to save money, and their receipts are pretty basic - just show the product name, price, and date. Is this sufficient documentation, or should I be keeping additional records like my prescription or doctor's recommendation for contacts? Also, for those using the retirement strategy, do you keep a running total somewhere of your accumulated reimbursable expenses? I'm thinking it would be motivating to see that number grow over time, plus helpful for retirement planning to know exactly how much "tax-free money" I have available. Thanks to everyone who's shared their systems - I'm definitely implementing the scan-immediately approach and setting up a proper cloud storage system this weekend!

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