How Likely is an HSA Audit? Important Things to Know

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. However, many HSA account holders wonder about the likelihood of being audited by the IRS. So, how likely is an HSA audit?

While there is no specific data available on the exact frequency of HSA audits, it is essential to understand that audits can happen. The IRS randomly selects tax returns for review, and HSA contributions and withdrawals are subject to scrutiny.

Factors that may increase the likelihood of an HSA audit include:

  • Large HSA contributions compared to reported income
  • Inconsistent or incorrect reporting of HSA expenses
  • Early withdrawal of HSA funds for non-qualified expenses

To avoid potential issues with an HSA audit, it is crucial to maintain accurate records of all HSA transactions and ensure compliance with IRS regulations. Being proactive and transparent in your HSA dealings can help reduce the chances of being audited.

Remember that audits are not always a cause for alarm, especially if you have followed the rules and kept detailed records. In case of an audit, cooperation and timely response to IRS inquiries are key.


Health Savings Accounts (HSAs) offer a wonderful opportunity to save for future medical expenses while reaping tax benefits. Despite their advantages, many HSA holders may still worry about the chances of an audit by the IRS. So, just how likely is an HSA audit to occur?

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