Are HSA Reimbursements Audited? - Understanding the Audit Process for HSA Accounts

When it comes to HSA reimbursements, many users often wonder if these transactions are audited. The answer is yes, HSA reimbursements can be audited to ensure compliance with IRS regulations and guidelines.

It is essential for HSA account holders to understand the audit process and what to expect:

  • IRS may randomly select HSA accounts for audit to verify that the funds are being used for qualified medical expenses only.
  • Audits can also be triggered if there are red flags in the reimbursement claims or if the account holder is suspected of misuse.
  • During an audit, the account holder may be required to provide documentation, receipts, and other proofs of medical expenses.
  • If any discrepancies are found during the audit, the account holder may be subject to penalties, taxes, or even account disqualification.

As an HSA account holder, it is crucial to keep accurate records of all medical expenses and receipts to avoid any issues during an audit.


Many HSA account holders often find themselves asking, 'Are HSA reimbursements audited?' and the answer is yes. The IRS does occasionally audit these reimbursements to ensure they comply with strict regulations surrounding qualified medical expenses.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter