Understanding HSA: What Happens to HSA Balance Upon Death?

Health Savings Accounts (HSAs) offer a great way to save and invest for medical expenses while enjoying tax advantages. However, many people wonder what happens to their HSA balance upon their death. Let's explore this important topic.

What Happens to HSA Balance Upon Death?

When the account holder passes away, the HSA balance goes through a process to determine its distribution:

  • If you have a spouse who is the designated beneficiary, the HSA can be transferred to them tax-free. They can then use the funds for eligible medical expenses.
  • If the beneficiary is someone other than your spouse, the HSA will no longer be treated as an HSA upon your death. The fair market value of the account on the date of death will be included in your beneficiary's gross income for that tax year.
  • If your estate is the beneficiary, the fair market value of the HSA will be included in your final income tax return.

Important Considerations:

  • It's crucial to keep your beneficiary designation up to date to ensure a smooth transfer of funds.
  • Consult with a financial advisor or tax professional to understand the implications of HSA distributions upon your passing.

Ultimately, understanding what happens to your HSA balance upon death can help you plan effectively for the future and ensure your loved ones are taken care of.


Understanding the fate of your Health Savings Account (HSA) balance after death is essential for effective estate planning.

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