Does the IRS Check HSA Withdrawals? - All You Need to Know

One common question that many HSA accountholders have is whether the IRS checks HSA withdrawals. The short answer is yes, the IRS does have the authority to review HSA transactions to ensure compliance with the tax laws governing these accounts.

However, it's important to note that the IRS primarily focuses on checking for any ineligible purchases made using HSA funds rather than scrutinizing every withdrawal that you make. As long as you use your HSA funds for qualified medical expenses, you should have nothing to worry about.

Here are some key points to keep in mind:

  • HSAs offer tax advantages, but they come with rules and regulations that must be followed to avoid penalties.
  • Qualified medical expenses include a wide range of healthcare services and products, from doctor's visits and prescription medications to certain medical equipment and even some over-the-counter items.
  • It's always a good idea to keep thorough records of your HSA transactions and receipts for any medical expenses you pay for with your HSA funds.

If the IRS does find that you've used your HSA funds for non-qualified expenses, you may be subject to penalties, including paying taxes on the withdrawn amount and potential additional fines.

Remember, the primary purpose of an HSA is to help you save for medical expenses tax-free, so using the funds for their intended purpose is crucial to avoid any issues with the IRS.


Many HSA accountholders wonder if the IRS keeps an eye on HSA withdrawals, and the answer is a resounding yes! It is essential to know that although the IRS can review HSA transactions, their main concern is with non-qualified expenses.

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