Originally Posted by fh2000
If I use the debit card issued by HSA account administrator, I should receive 1099-SA form listing all the withdraws for the year. I can use it to generate Form 8889. I then have no need to save any receipts. Is that how it works?
You should save the receipts until the statue of limitations to audit your return has expired.
If you return is audited, in general, you will need to show bills for qualified medical expenses AND proof that you paid them in order to not risk having the expense disallowed.
If you don't like having the paper receipts around, perhaps you could scan them and save digital copies instead.