Can You Inherit an HSA Account? Understanding the Rules and Regulations

When it comes to health savings accounts (HSAs), one question that often arises is whether you can inherit an HSA account from a family member or loved one. The answer to this question is not as straightforward as it may seem, as there are specific rules and regulations that govern the inheritance of an HSA account. Let's delve into the details to understand how inheriting an HSA works.

First and foremost, it is essential to know that the rules regarding inheriting an HSA account can vary based on the relationship between the deceased accountholder and the inheritor. Here are some key points to consider:

  • Spouse Beneficiary: If the spouse is named as the beneficiary of the HSA account, the account is transferred to the spouse tax-free. The spouse becomes the new accountholder and can use the funds for qualified medical expenses.
  • Non-Spouse Beneficiary: If a non-spouse, such as a child or sibling, inherits the HSA account, the account loses its tax-advantaged status. The inheritor must include the HSA funds in their gross income for that tax year.
  • Effect on Estate Taxes: The value of the HSA account is included in the deceased accountholder's estate for estate tax purposes. However, if the spouse is the beneficiary, the account is not included in the estate.

It's essential to consult with a financial advisor or tax professional to understand the implications of inheriting an HSA account fully. Additionally, proper documentation and beneficiary designations are crucial to ensure a smooth transfer of the HSA account.


Understanding HSA inheritance can feel daunting, but it’s vital for ensuring your loved ones benefit from these accounts. If you pass away and your HSA has a designated spouse as the beneficiary, they inherit the funds tax-free and can seamlessly use the money for their medical expenses.

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