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Who decides whether the money Im spending from my HSA is for a qualified medical expense?

April 26, 2017decides expense HSA medical money qualified Spending

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Who decides whether the money Im spending from my HSA is for a qualified medical expense?

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You are responsible for that decision, and therefore should familiarize yourself with what qualified medical expenses are (as partially defined in IRS Publication 502) and also keep your receipts in case you need to defend your expenditures or decisions during an audit.