What Happens When You Inherit an HSA?

When it comes to Health Savings Accounts (HSAs), many people wonder what happens when an HSA is inherited. An HSA is a tax-advantaged account that individuals can use to save for qualified medical expenses. If you inherit an HSA, there are specific rules and regulations that govern how the account can be managed and accessed. Here are some key points to consider:

  • When you inherit an HSA from a spouse:
    • The HSA becomes your own HSA.
    • You can use the funds in the HSA for qualified medical expenses tax-free.
  • When you inherit an HSA from someone other than a spouse:
    • The HSA loses its tax-advantaged status.
    • You must include the fair market value of the HSA in your gross income for that tax year.
  • If the HSA is not spent on qualified medical expenses:
    • There may be penalties and taxes on the non-qualified withdrawals.
    • It is important to understand the rules to avoid potential penalties.

    Inheriting an HSA can have implications on your taxes and finances, so it is crucial to be aware of the rules and regulations surrounding inherited HSAs.


    Inheriting an HSA (Health Savings Account) may seem complicated, but understanding the process can simplify your financial planning. When you inherit an HSA, the rules vary based on your relationship to the deceased account holder, particularly if they were your spouse.

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