Yes. Per IRS regulations, receipts must be provided for purchases made using funds from your Health Savings Account (HSA). This is because HSA distributions (money spent from an HSA account) are considered nontaxable, so long as the money is used to pay for qualified medical expenses. In order to prove that purchases were eligible, you should retain copies of any spending completed under this benefit.
If you aren't sure how to add a receipt to your transaction, check out this article as well.
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