I track mined with a pair of accounts, one real and one virtual:

 2019/01/01 Insurer
    Income:Benefits   -$100.00
    Assets:HSA
    (Funds:HSA)   $100.00

 2019/02/01  Doctor
    Assets:Bank   -$50.00
    Expenses:Medical
    (Funds:HSA)    -$50.00

 2019/02/15  Insurer Reimbursement
    Assets:HSA   -$50.00
    Assets:Bank

The Funds:HSA shows the total amount still available for eligible expenses, 
and any difference between the two HSA accounts is an outstanding 
reimbursement.

Hope this helps.

Regards,
Ryan

On Friday, December 20, 2019 at 4:41:32 PM UTC-7, Alex Branham wrote:
>
> Hi all -
>
> I'm wondering if anyone has a clever way of tracking HSA expenses in
> ledger. For those who don't know, an HSA is a type of account used for
> "eligible" healthcare expenses in the US. You can pay the healthcare
> expense out of pocket and then later reimburse yourself from the HSA.
>
> 2019-01-01 Foo
>     assets:hsa    $ 100.00
>     equity
>
> 2019-01-02 doctor
>     expenses:health  $ 30.00
>     cash
>
> 2019-01-03 second doctor
>     expenses:health  $ 20.00
>     cash
>
> 2019-01-03 pharmacy
>     ; this one isn't eligible for HSA reimbursement
>     expenses:health  $ 10.00
>     cash
>
> 2019-01-04 myself
>     cash  $ 20.00
>     assets:hsa
>
> So ideally somehow I'd know that there's still $30 of reimbursable
> expenses leftover.
>
> Let me know if something needs clearing up; I tried to keep the example
> as brief as possible.
>
> Thanks,
> Alex
>
>

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