Who Inherits an HSA? Understanding the Basics of Health Savings Account Inheritance

When it comes to Health Savings Accounts (HSAs), you may wonder what happens to your account in case of your passing. The inheritance of an HSA depends on specific factors and can vary based on the account holder's situation. Let's delve into the details of who inherits an HSA.

Understanding HSA Inheritance:

  • If you have an HSA, it's crucial to designate a beneficiary. This person will inherit the funds in your HSA.
  • Typically, you can name a primary beneficiary and a contingent beneficiary in case the primary one is unavailable.
  • Upon your passing, the designated beneficiary becomes the owner of the HSA.

Factors Influencing HSA Inheritance:

  • Marital Status: Spouses have unique HSA inheritance rights. A spouse can inherit an HSA tax-free and treat it as if it were their own.
  • Non-Spouse Beneficiaries: If the designated beneficiary is not a spouse, the HSA will no longer be considered an HSA. The funds become taxable income for the beneficiary.
  • Estate Planning: Including your HSA information in your estate plan can help ensure a smoother inheritance process.

It's essential to review and update your beneficiary designation regularly to reflect any life changes or updates in your wishes.


When thinking about the future of your Health Savings Account (HSA), it’s important to know that proper planning can ensure your loved ones are taken care of. Understanding the rules of HSA inheritance can help guide your decisions.

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