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Tax Documentation You Should Keep Whether you use your HSA/FSA directly or submit for reimbursement, maintain these records: Prescription or treatment plan from your Hims provider Itemized receipts for each billing cycle Letter of Medical Necessity (if your administrator requires one) Any correspondence with your HSA/FSA administrator about the claim The IRS can audit HSA/FSA expenses, and undocumented claims may be treated as taxable distributions with penalties

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