Who Inherits an HSA? Understanding HSA Inheritance Rules

When it comes to Health Savings Accounts (HSAs), understanding the rules around inheritance is important for beneficiaries.

Generally, the designated beneficiary of an HSA is determined by the account holder when they set up the account.

Here's what you need to know about who inherits an HSA:

  • Spouse as Beneficiary: Spouses who inherit an HSA can treat it as their own HSA after the original account holder's death.
  • Non-Spouse Beneficiaries: If a non-spouse inherits an HSA, the account loses its HSA status and the fair market value of the account becomes taxable income to the beneficiary.
  • State Laws: It's important to be aware of any specific state laws that may affect HSA inheritance.

Understanding these inheritance rules can help ensure a smooth transfer of HSA funds to your chosen beneficiary.


When it comes to Health Savings Accounts (HSAs), it's vital to understand the rules around inheritance to ensure your loved ones are taken care of financially.

Generally, the designated beneficiary of an HSA is determined during account setup, making it essential to review your choices periodically.

Here's an expanded look at who can inherit an HSA:

  • Spouse as Beneficiary: If a spouse inherits an HSA, they can treat it as their own. This means they can continue to contribute to the account, making it a powerful tool for covering healthcare expenses.
  • Non-Spouse Beneficiaries: In the case of non-spouse beneficiaries, the inherited account loses HSA status, and the fair market value becomes taxable income. This can significantly impact the tax liabilities of the beneficiary, making financial planning essential.
  • State Laws: Each state may have different regulations regarding HSA inheritances. It's wise to check local laws to ensure compliance and to understand any potential implications.

Having a clear understanding of these inheritance rules and ensuring you communicate your wishes can help provide peace of mind during a difficult time.

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