What Do You Have to Prove When You Get Audited on HSA Account?

Getting audited on your HSA account can be stressful, but knowing what you need to prove can help ease that anxiety.

When audited on your HSA account, you may need to provide documentation to prove several things:

  • Proof of eligible medical expenses: You'll need to show that the expenses you used your HSA funds for are qualified medical expenses under IRS guidelines.
  • Proof of HSA eligibility: You may be asked to provide proof that you were eligible to contribute to an HSA during the time in question, including proof of your high-deductible health insurance coverage.
  • Proof of contributions and distributions: You'll need to provide records showing the contributions made to your HSA and the distributions taken from it, including any rollover or transfer transactions.

It's essential to keep accurate and organized records of your HSA transactions to make the audit process smoother. If you are unsure about what documentation to provide during an audit, seeking guidance from a tax professional can be beneficial.


Having your HSA account audited might seem daunting, but understanding the required proof can significantly reduce your worry.

During an audit, it’s crucial to present clear documentation verifying the following:

  • Evidence of eligible medical expenses: You must demonstrate that the expenses covered by your HSA funds align with the IRS's definition of qualified medical expenses.
  • Verification of HSA eligibility: You might be required to provide proof confirming your eligibility to contribute to your HSA at the time in question, which includes showing that you had high-deductible health insurance coverage.
  • Documentation of contributions and distributions: Be prepared to furnish records that detail contributions made and distributions taken from your HSA, along with any rollover or transfer transactions.

To streamline the audit process, maintaining accurate and organized HSA transaction records is essential. Don’t hesitate to consult a tax professional if you’re uncertain about the required documentation!

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