What Happens to Your HSA When You Die?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while saving on taxes. However, many people wonder what happens to their HSA when they pass away. Here's what you need to know:

When you die, your HSA funds do not automatically disappear. The fate of your HSA depends on your beneficiary designation.

If you have a spouse as the beneficiary:

  • Your spouse can inherit your HSA tax-free.
  • Your spouse can continue to use the HSA funds for qualified medical expenses.
  • If your spouse does not wish to inherit the HSA, they can designate a new beneficiary.

If you have a non-spouse beneficiary:

  • The HSA will no longer be treated as an HSA after your death.
  • The fair market value of the HSA becomes taxable income to the beneficiary in the year of death.
  • The beneficiary can use the funds for qualified medical expenses to avoid taxes.

It's important to review and update your beneficiary designation regularly to ensure your HSA funds are distributed according to your wishes.


When you pass away, your Health Savings Account (HSA) can play a crucial role in providing financial support for your loved ones, depending on the beneficiary you’ve designated.

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