Can Heirs Take HSA Reimbursement with Receipts of Deceased? Exploring HSA Inheritance Rules

After the passing of a loved one who had a Health Savings Account (HSA), it's natural to wonder about the options available to the heirs regarding the HSA funds. In the case of an HSA, the ability to access the account as an heir can be subject to specific rules and regulations.

One common question that arises is whether heirs can take HSA reimbursement with receipts of the deceased account holder. Let's delve into this topic to understand the possibilities and limitations:

It's important to note that the rules governing HSAs differ depending on the specifics of the situation. Here are some key points to consider:

  • Heirs can use the HSA funds to pay for qualified medical expenses incurred by the deceased before their passing.
  • If the HSA passes to a surviving spouse, the spouse can treat the HSA as their own and use the funds for qualified medical expenses.
  • Non-spouse beneficiaries, such as children, have different options for dealing with the inherited HSA:
    • If the non-spouse beneficiary is named on the HSA beneficiary form, they may be able to roll over the HSA funds into their own HSA or take a distribution.
    • If the non-spouse beneficiary is not named on the beneficiary form, the HSA funds may be distributed as part of the deceased's estate and subject to taxation.

When it comes to taking HSA reimbursement with receipts of the deceased, there are specific considerations:

  • Heirs can seek reimbursement for qualified medical expenses that were incurred by the deceased while they were alive.
  • It's essential to have proper documentation, such as receipts, to support the reimbursement claims.
  • Heirs should work with the HSA administrator to ensure compliance with IRS regulations and avoid any potential tax implications.

Overall, while heirs may be able to access HSA funds for qualified medical expenses incurred by the deceased, it's crucial to understand the rules and procedures involved to navigate this process successfully.


When a beloved family member who held a Health Savings Account (HSA) passes away, it can create confusion about what happens to their HSA funds and how heirs can access them. Understanding the HSA inheritance rules can help ease this burden and guide you through the process.

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