Do HSA Balances Go to Beneficiaries?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while also saving for the future. One common question that many people have is what happens to their HSA balance when they pass away? The answer to this question depends on various factors such as who the designated beneficiary is and the specific rules of the HSA plan.

Here are some key points to consider regarding HSA balances and beneficiaries:

  • HSAs are individual accounts, meaning that the funds belong to the account holder.
  • Upon the account holder's death, the HSA balance can typically transfer to a designated beneficiary tax-free.
  • The beneficiary can use the funds for qualified medical expenses without any tax implications.
  • If the beneficiary is a spouse, they can treat the HSA as their own account and continue using it for healthcare expenses.
  • Non-spouse beneficiaries have different options for managing the inherited HSA balance.

It's essential to review and update your beneficiary designation regularly to ensure that your HSA balance goes to the intended recipient. Consulting with a financial advisor or tax professional can help you navigate the complexities of HSA beneficiary rules.


Health Savings Accounts (HSAs) serve not only as a means to handle current medical expenses but also as a way to ensure financial security for future healthcare costs. A major concern for account holders is the fate of their HSA balance after they pass away. Understanding the transfer process is crucial to ensure your loved ones benefit from your savings.

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