What is a HSA Audit? Understanding the Basics of Health Savings Account Audits

Have you ever heard the term HSA audit and wondered what it means? A HSA audit refers to the process of reviewing your Health Savings Account (HSA) transactions and records to ensure compliance with IRS regulations and account terms. This audit is typically conducted by your HSA provider or employer to verify that your HSA funds are being used for eligible medical expenses.

During a HSA audit, you may be asked to provide documentation such as receipts, invoices, and Explanation of Benefits (EOB) statements. It is essential to keep accurate records of your medical expenses to simplify the audit process and demonstrate that your HSA funds are being used appropriately.

If any discrepancies or non-eligible expenses are identified during the audit, you may be required to repay the amount or face penalties. Therefore, it is crucial to understand the rules and regulations governing HSA contributions and withdrawals to avoid any issues during an audit.


Understanding what an HSA audit entails is vital for anyone using a Health Savings Account. An HSA audit is a thorough review of your transactions, ensuring everything aligns with IRS regulations and the specific terms set forth by your HSA provider. These audits are often initiated by your employer or the bank that manages your account, and they are essential to confirm that all funds are appropriately allocated for qualified medical expenses.

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