Who Audits HSA?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare costs, but who audits them? Understanding the oversight behind HSAs can provide reassurance and confidence in utilizing these accounts effectively.

When it comes to auditing HSAs, there are several entities involved in ensuring compliance and proper use:

  • The Internal Revenue Service (IRS): The IRS sets guidelines and regulations for HSAs to maintain their tax-advantaged status. They may conduct audits to verify compliance with eligible expenses and contribution limits.
  • Financial Institutions: Banks or credit unions that offer HSA accounts may have internal audits to ensure proper administration and adherence to regulations.
  • Third-Party Administrators: Some employers use third-party administrators to manage their employees' HSA accounts. These administrators may also conduct audits to ensure accuracy and compliance.

It is essential for HSA account holders to keep detailed records of their healthcare expenses and contributions in case of an audit. By maintaining accurate documentation, account holders can confidently navigate any potential audits.


Understanding who audits Health Savings Accounts (HSAs) is crucial for anyone looking to make the most of this healthcare savings tool. HSAs offer fantastic tax benefits, but those come with responsibilities and oversight.

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