Understanding HSA Audit: What Prompts an HSA Audit?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. However, just like any financial account, an HSA may be subject to an audit. But what prompts an HSA audit?

There are several factors that may lead to an HSA audit, including:

  • Incorrect contributions: Making excess contributions or contributions that exceed the annual limits set by the IRS can trigger an audit.
  • Use of funds for non-qualified expenses: Using HSA funds for expenses that are not considered qualified medical expenses is a red flag for auditors.
  • Failure to maintain proper documentation: It is important to keep records of all HSA transactions and receipts to substantiate the use of funds for eligible expenses.
  • Account discrepancies: Any inconsistencies or errors in HSA account statements or tax reporting can raise concerns.

To avoid an HSA audit, it is crucial to stay informed about the rules and regulations governing HSAs and to ensure compliance with them. By being proactive and diligent in managing your HSA, you can minimize the risk of triggering an audit.


Health Savings Accounts (HSAs) are not only a fantastic way to save for upcoming medical expenses, but they also offer substantial tax advantages. However, just like any financial tool, HSAs are subject to audits. Understanding what prompts these audits can help you maintain your peace of mind.

Several factors may lead to an HSA audit:

  • Incorrect contributions: Overshooting your contributions or exceeding the IRS’s annual limits can set off an audit alarm.
  • Use of funds for non-qualified expenses: If you mistakenly use your HSA funds on non-qualified medical expenses, that could be a major red flag for auditors.
  • Failure to maintain proper documentation: Keeping accurate records of all your HSA transactions and receipts is vital. This substantiation is essential to demonstrate that you’re using your funds for eligible expenses.
  • Account discrepancies: Any inconsistencies or mistakes in your HSA account statements or tax filings may prompt increased scrutiny.

To steer clear of an HSA audit, staying updated on the rules and regulations that govern HSAs is key. Proactively managing your HSA with attention to compliance can significantly decrease your risk of being audited.

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