Health Savings Accounts have the easiest methods of payment out of all health insurance plans. Usually, you will be given a debit card or checkbook by your HSA Administrator. Each time you receive a qualified service, simply write a check or use the debit card to compensate the provider. There is no pre-approval system, nor is it necessary to submit any claims. However, in order to receive the appropriate tax deductions, you should save the receipts from any qualified medical provider as you would any other tax-deductible exchanges. Additionally, it is important to remember that in order for your healthcare costs to qualify, your HSA must first be established before incurring any expenses.