Do HSA purchases get audited?

Asked by: Cydney Abernathy PhD  |  Last update: December 8, 2023
Score: 4.6/5 (32 votes)

HSA reimbursements need matching receipts.
When using an HSA debit card, retain receipts for each transaction as those expenses will be reported to the IRS, and you could be audited.

Does IRS audit HSA spending?

However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes. You are also responsible for saving all receipts as verification of expenses in the case of an IRS audit.

Does IRS check HSA receipts?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

Do I have to report HSA purchases?

When filing your taxes, you are required to file IRS Form 8889 if you (or someone on your behalf, including your employer) made contributions to your HSA, or if you received HSA distributions for the year.

How do they track HSA spending?

Because HSA spending is tax deductible, the IRS requires that you maintain proof that any HSA funds spent were for HSA eligible expenses. Uploading a quick photo of the receipt to TrackHSA ensures that if the IRS comes knocking, you can justify all of your HSA spending and the health tax breaks they offer.

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31 related questions found

Does HSA verify purchases?

Account holders are responsible for verifying eligibility of purchases. Unlike the flexible spending account (FSA), which doesn't allow the user to purchase goods or services that aren't eligible for reimbursement, an employee could literally purchase anything with their HSA dollars.

What do I do if I accidentally used my HSA card?

If you realize you've made a mistake and want to correct it, simply return the money to your HSA and you will avoid the additional penalty. If you do not return the money to your HSA, it will be counted as taxable income, and even worse, you'll have to pay a 20% penalty.

What happens if you buy something not HSA approved?

Before you sign up, however, it's important to understand that the money in these accounts may only be used for HSA qualified expenses. If you spend the money on ineligible items, expect to pay income tax and hefty penalties for your mistake.

What is HSA receipt loophole?

Again, you don't have to reimburse yourself for those medical expenses in the same year, or the same plan year that you incur those medical expenses. If you incur that medical expense, you can just write it down. And then you can reimburse yourself from the HSA at a later date.

Is it illegal to use HSA money for anything?

Non-medical expenses

The funds in an HSA can be used for general non-medical purposes, without penalty, once the employee reaches age 65. However, any withdrawn funds used for non-medical purposes are still subject to income tax. If HSA funds are withdrawn for non-medical use before age 65, some penalties apply.

How likely will I get audited?

For one thing, your chances statistically of being audited are not likely. The vast majority of more than approximately 150 million taxpayers who file yearly don't have to face it. Less than one percent of taxpayers get one sort of audit or another. Your overall odds of being audited are roughly 0.3% or 3 in 1,000.

How far back can the IRS audit you?

Generally, the IRS can include returns filed within the last three years in an audit. If we identify a substantial error, we may add additional years. We usually don't go back more than the last six years. The IRS tries to audit tax returns as soon as possible after they are filed.

What is the IRS penalty for HSA?

If you contribute over your yearly limit, you are charged a 6% excise tax on the amount over your limit every year until you fix it.

Who audits HSA purchases?

Yes, you are responsible in case of questions or audit by the Internal Revenue Service (IRS) to prove distributions for eligible medical expenses. Because money taken out of your HSA tax free may only go towards eligible medical expenses, it's best to keep documentation in case of potential audit.

Can I reimburse myself from HSA without receipt?

As long as the qualifying medical expense was made after the establishment of your HSA, you can use your HSA to pay yourself back for your out-of-pocket expense. And while it isn't required that you submit receipts to be reimbursed from your HSA, we recommend it in case of an IRS audit.

What happens if I use my HSA for Botox?

Money in an FSA or HSA does not cover cosmetic treatments. If you are getting Botox for a medical indication, such as migraine headaches, then you can use the money in your HSA for Botox. But cosmetic treatments are not eligible.

Can I buy shampoo with HSA?

While some exceptions may vary, shampoo is generally not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I use my HSA to pay rent?

For people who don't generally get sick or spend a lot on medical expenses, an HSA can still prove beneficial. If necessary, you can withdraw money from your HSA for non-medical things, but Hogan doesn't recommend it. If you use your HSA to pay rent or get a new dye job, you will end up being taxed.

Can I buy toilet paper with my HSA card?

Toiletries are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Is the money in my HSA mine?

All of the money in the account goes with you, even if it was contributed by your employer. This is an advantage of HSAs over FSAs, as the opposite is true with an FSA (if you leave your job with money left in an FSA, the money belongs to the employer).

Does HSA get reported on taxes?

HSA distributions are reported to the account owner on Form 1099-SA. This form is issued by the financial institution. Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA.

Does HSA mess up taxes?

Contributions made to your HSA by your employer may be excluded from your gross income. The contributions remain in your account until you use them. The earnings in the account aren't taxed. Distributions used to pay for qualified medical expenses are tax-free.

Can you use HSA for Apple Watch?

Unfortunately the answer to this question is usually no. This is because according to the IRS, fitness trackers are used to promote what the IRS terms “general health”. Expenses under this general health definition are not considered HSA eligible expenses.

What triggers an IRS audit?

The IRS receives copies of your W-2s and 1099s, and their systems automatically compare this data to the amounts you report on your tax return. A discrepancy, such as a 1099 that isn't reported on your return, could trigger further review. So, if you receive a 1099 that isn't yours, or isn't correct, don't ignore it.

What are red flags for the IRS?

Some red flags for an audit are round numbers, missing income, excessive deductions or credits, unreported income and refundable tax credits. The best defense is proper documentation and receipts, tax experts say.