How is an HSA audited by the IRS?

Health Savings Accounts (HSAs) are a great way to save money tax-free for medical expenses. However, it is essential to follow the rules and regulations set by the IRS to avoid any issues. The IRS can audit your HSA to ensure compliance with tax laws and regulations.

When the IRS audits an HSA, they may review various aspects of the account, including contributions, distributions, and eligible expenses. Here are some key points to keep in mind:

  • Contributions: The IRS may verify that the contributions made to your HSA do not exceed the annual limits set by the IRS. Any excess contributions may be subject to penalties.
  • Distributions: The IRS may also check if the HSA funds were used for qualified medical expenses. Using HSA funds for non-qualified expenses may result in taxes and penalties.
  • Documentation: It is crucial to maintain proper documentation for all HSA transactions, including receipts for medical expenses paid with HSA funds.

In case of an audit, you may be required to provide supporting documentation to prove the eligibility of HSA transactions. It is advisable to keep detailed records and stay informed about the rules governing HSAs to avoid any audit-related issues.


Health Savings Accounts (HSAs) provide a fantastic opportunity for saving money on medical costs tax-free, but let's talk about the importance of understanding how the IRS conducts audits on these accounts. Primarily, the IRS wants to ensure taxpayers are following the rules they've established.

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