HSAMatch

Questions people actually ask

Straight answers, statute-grounded, no jargon. Anything else — the audit packet's methodology section covers the fine print.

Is delaying reimbursement for years actually allowed?

Yes. There is no deadline for reimbursing a qualified expense, as long as it was incurred after the HSA was established, you have the records, and it wasn't deducted or otherwise reimbursed. The IRS's own guidance contemplates exactly this — the whole strategy rests on keeping proof, which is what this ledger is.

What records does the IRS actually want?

That the expense was qualified (the EOB or receipt), that you paid it and weren't reimbursed by insurance (the bank record against the adjudication), and that no double benefit was taken (no Schedule A deduction; distributions on your 1099-SA traced to documented expenses). That's precisely the three-level structure of the audit packet.

What happens if I get audited?

You press Export → Audit packet. It groups exhibits by tax year, pairs every expense with its payment, states the statutory basis, includes your per-year return status and 1099-SA reconciliation, and carries SHA-256 fingerprints plus a tamper-evident event chain. The response to a letter is a print button.

Can I count expenses for my spouse and kids?

Yes — qualified expenses of your spouse and dependents count even if they're on entirely different insurance. Every entry here is attributed to a named household member, which is both the legal basis and how the packet presents it.

What about after someone passes away?

Expenses incurred before a family member's death remain fully reimbursable; the ledger refuses anything dated after (it can't qualify). If the account holder dies, a spouse beneficiary takes the HSA as their own; any other beneficiary owes tax on the balance minus your qualified expenses paid within one year — a deadline only an organized, per-person ledger can meet.

Do Medicare premiums really qualify?

Once the account holder is 65: Parts A, B, C, and D and employer retiree coverage, yes — Part B alone is $202.90/month in 2026 (the standard premium; income-related surcharges run higher), usually withheld from Social Security, with the SSA-1099 as proof (the premium tracker handles the whole series). Medigap never qualifies at any age, and the app refuses it so an audit can't.

Does driving to appointments count?

Yes — medical travel at the IRS standard rate (20.5¢/mile for January to June 2026, 23.5¢/mile from July 1, 2026) plus parking and tolls. Log the trip with its destination and the ledger applies the correct rate for the date; the log itself is the substantiation.

What are the 2026 HSA contribution limits?

Per IRS Rev. Proc. 2025-19: $4,400 for self-only coverage and $8,750 for family coverage, plus a $1,000 catch-up if you're 55 or older. To contribute at all you need a qualifying high-deductible plan: a deductible of at least $1,700 (self-only) or $3,400 (family), with out-of-pocket maximums no higher than $8,500 and $17,000. Contributions are the one part of the strategy with a deadline; reimbursements have none.

Where are my documents actually stored?

Uploaded EOBs, receipts, and statements are encrypted with AES-256-GCM before they are written anywhere, fingerprinted with SHA-256, and stored either on the server's persistent disk or in a private object-storage bucket; either way the storage only ever holds ciphertext, and the key never leaves the application. Account records, matches, and decisions live in a database on the same persistent disk. Nothing is stored in your browser except a session cookie.

My EOBs are scans and phone photos. Will they work?

Yes. Image-only PDFs and photos are read by built-in OCR at no cost; genuinely rough scans fall back to AI extraction (if configured) or quick manual entry — and the original always attaches as evidence regardless.

What if I itemized deductions one year?

Record it in the per-year status. If you claimed medical expenses on Schedule A, mark those specific expenses as deducted — they're excluded from the reimbursable balance and listed transparently in the packet (specific identification; the exclusion follows the year you paid, matching Schedule A).

Is my medical data safe?

Documents are encrypted at rest (AES-256-GCM), fingerprinted at upload, and served only to you; passwords are hashed with scrypt; sessions, headers, and cross-origin protections follow current practice; and if you link an advisor they see summary numbers and status only — never your documents — revocable in one click.

Am I locked in?

The opposite, on purpose. Export everything (.zip) works on every plan including free: every original file byte-identical, all data with raw payer payloads, the packet, and a fingerprint manifest. A record system you can't leave is one you can't trust.

What does it cost?

While HSAMatch is in preview, everything is free — matching, connections, and every export. Paid tiers will arrive later; exports will stay free on every plan, permanently.

Which HSA custodians does it work with?

All of them — the ledger is custodian-neutral because it works from your insurer's adjudications and your bank records, not the custodian's app. Record your balances (or link via bank connection) and the hero shows exactly how much you can withdraw tax-free today.

Is this tax advice?

No — it's record-keeping and substantiation software. The math, statutes, and packet language are built to professional standards, but your CPA or advisor owns the conclusions. (Many advisors use the built-in portal for exactly that.)

What surprising things can I log against an HSA — and which need a doctor's note?

More than most people think. OTC medicines and menstrual products have qualified without a prescription since 2020; sunscreen (SPF 15+), first-aid supplies, breast pumps, and mileage to appointments all count. The category people miss: dual-use items — ordinarily personal, but qualified with a Letter of Medical Necessity (LMN) from a provider naming the condition they treat. Attach the LMN to the expense and it belongs in the packet. This is the same reference built into the app's eligibility search, grounded in IRS Pub. 502.

Automatically eligible (53)

AcupunctureTreatment for a medical condition qualifies.
Ambulance
Bandages
Birth controlPrescription or OTC.
Blood pressure monitor
BracesOrthodontia qualifies; cosmetic-only work does not.
Breast pumpLactation supplies qualify.
Chiropractor
Cobra premiumsPremium exception — any age.
Contact lensesIncluding solution.
Cough medicineOTC medicines qualify without prescription (2020+).
CpapMachine and supplies.
Crutches
Dental cleaning
Dental implantsRestorative; purely cosmetic does not.
Dentures
DermatologyMedical dermatology; cosmetic procedures do not.
Diabetic suppliesTest strips, insulin, monitors.
Doctor visits
Eye exam
EyeglassesPrescription.
Fertility treatmentIVF, storage directly related to conception.
First aid kit
Flu shot
Hearing aidsIncluding batteries.
Hospital services
Insulin
Lab fees
LasikVision-correcting surgery qualifies.
Medicare premiumsParts A–D and Advantage — account holder 65+ only. Medigap: no.
Menstrual productsQualified since 2020 (CARES Act).
Mental health therapyTreatment; general life coaching does not.
Mileage medical travelStandard medical mileage rate + parking/tolls.
Nursing servicesMedical care portion.
Orthotics
Oxygen
Pain relieversOTC qualifies.
Physical therapy
Prenatal vitamins
Prescription drugs
Psychiatrist
Psychologist
Reading glassesOTC qualifies.
Smoking cessationPrograms and prescribed aids.
SunscreenSPF 15+ broad spectrum.
SurgeryMedically necessary; cosmetic does not.
Telehealth
Thermometer
Urgent care
Vaccines
Walker
Wheelchair
X-ray

Eligible with a Letter of Medical Necessity (7)

Air purifierWith LMN for a diagnosed respiratory condition.
Gym membershipOnly with LMN prescribing exercise for a specific diagnosed condition.
Massage therapyWith LMN for a diagnosed condition (e.g., injury rehab).
MattressSpecial mattress with LMN for a documented medical condition.
VitaminsGeneral health: no. Specific deficiency with LMN/prescription: yes.
Weight loss programFor a diagnosed condition (obesity, hypertension) with LMN.
WigHair loss from disease/treatment with LMN.

Never eligible (13)

BabysittingChild care is not medical care.
Cosmetic surgeryUnless correcting deformity from disease/accident/congenital condition.
Dance lessonsGeneral wellbeing does not qualify.
DiapersRegular infant diapers; incontinence products for a condition DO qualify.
Funeral expenses
Hair transplantCosmetic.
Health club duesWithout LMN.
Marriage counselingNot treatment of disease.
Medigap premiumsMedicare Supplement premiums never qualify.
Nutritional supplementsGeneral health without medical necessity.
Teeth whiteningCosmetic.
Toiletries
VeterinaryExcept service animals for a disability — those qualify.

Reference, not tax advice; edge cases live in Pub. 502.

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Free plan includes every export, forever. Not tax advice.