What Triggers an HSA Audit? - Everything You Need to Know

Health Savings Accounts (HSAs) are an excellent way to save for medical expenses while enjoying tax advantages. However, like any financial account, HSAs are subject to audits to ensure compliance with regulations. But what exactly triggers an HSA audit? Let's delve into this topic to help you understand more about it.

There are a few common scenarios that may lead to an HSA audit:

  • Incorrect Contributions: Making excess contributions to your HSA can trigger an audit. Ensure you are within the annual contribution limits set by the IRS.
  • Ineligible Expenses: Using HSA funds for non-qualified medical expenses is a red flag. Stick to allowed expenses like doctor visits, prescriptions, and certain medical supplies.
  • Multiple Accounts: Having more than one HSA can raise suspicions. It's best to maintain a single account to simplify record-keeping.

If your HSA is selected for an audit, don't panic. Provide accurate documentation and cooperate with the auditing authorities to resolve any issues. Remember, audits are conducted to maintain the integrity of the HSA system and protect your funds.


Health Savings Accounts (HSAs) provide a fantastic opportunity to save effectively for medical costs while enjoying a range of tax benefits. Understanding what can trigger an HSA audit is vital to keeping your finances in check. Let’s break down the triggers and how to avoid them.

There are several reasons that might lead to an HSA audit:

  • Excessive Contributions: Contributing more than the IRS limit to your HSA is a common oversight. Be sure to verify these limits annually to prevent an audit.
  • Unqualified Medical Expenses: Utilizing HSA funds for expenses that don’t qualify can raise a red flag. Concentrate on approved allocations, such as services from licensed healthcare providers or eligible medications.
  • Multiple HSAs: While it's possible to own more than one HSA, managing multiple accounts can complicate your record-keeping and might attract scrutiny. Streamlining to one HSA can ease your audits.

In the event that your HSA faces an audit, take it in stride. Present clear and thorough documentation and work collaboratively with auditors to clarify any inconsistencies. Remember, audits are a normal part of ensuring that the HSA system remains solid and secure for everyone.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter