What Prompts an HSA Audit? - Understanding the Reasons Behind HSA Audits

Health Savings Accounts (HSAs) are an excellent way to save money for future medical expenses while enjoying tax benefits. However, HSA accounts are subject to audits to ensure compliance with IRS regulations. But what prompts an HSA audit?

Several factors could trigger an HSA audit, including:

  • Unusual or excessive expenses
  • Ineligible expenses
  • Incomplete or inaccurate documentation
  • Failure to maintain qualified HSA status

It's essential to understand why HSA audits occur to avoid pitfalls and maximize the benefits of your HSA account. By complying with regulations and maintaining accurate records, you can navigate the audit process smoothly and continue leveraging the advantages of your HSA.


Health Savings Accounts (HSAs) provide a dual benefit: they allow you to save for medical costs while offering significant tax breaks. Understanding the triggers for an HSA audit is crucial for making the most of this opportunity.

Common causes of HSA audits include:

  • Unusual patterns of spending
  • Purchases that aren’t eligible under IRS guidelines
  • Records that are insufficient or incorrect
  • Not keeping your HSA in a qualified status

To protect your HSA and ensure you continue enjoying its incredible benefits, staying informed about potential audit red flags is key. File your expenses accurately and keep meticulous documentation to smoothly sail through any audit process.

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