Is Inherited Money from an HSA Taxable When Used for Healthcare Premiums?

Health Savings Accounts (HSAs) are a valuable tool for saving money tax-free for medical expenses. But what happens to inherited money in an HSA?

When you inherit an HSA from a deceased account holder, the tax treatment of the funds depends on your relationship to the account holder:

  • If you are the spouse of the account holder, you can treat the inherited HSA as your own, and the funds remain tax-free when used for qualified medical expenses, including healthcare premiums.
  • Non-spouse beneficiaries, on the other hand, may have different tax implications:
    • For non-spouse beneficiaries, the tax treatment of inherited HSA funds varies based on the timing of the distribution:
    • If the inherited HSA funds are used for qualified medical expenses, including healthcare premiums, they remain tax-free.
    • However, if the non-spouse beneficiary uses the inherited HSA funds for non-qualified expenses, they may be subject to income tax and a 20% penalty on the distribution.

It's important to note that different rules may apply depending on the specific circumstances, so it's always best to consult with a tax professional or financial advisor for personalized guidance.


Health Savings Accounts (HSAs) are not just a smart choice for saving on healthcare; they can also have significant implications when inherited. If you find yourself inheriting an HSA, understanding the tax consequences is crucial for making the most of those funds.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter