You can transfer an HSA to another HSA at any time, and the move stays tax-free when you follow the rules. The IRS treats a Health Savings Account as your personal property, so the balance belongs to you regardless of which employer set it up or what insurance you carry now.1Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans Two methods are available: a direct trustee-to-trustee transfer between custodians, and a rollover where the money passes through your hands. They look similar on the surface but carry very different rules.
The Two Methods and How They Differ
A direct trustee-to-trustee transfer is the cleaner option. Your current HSA custodian sends the money straight to the new one, and the funds never touch your bank account. There is no cap on how often you can do this, no deadline, and nothing to put on your tax return.2Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans – Section: Rollovers The receiving custodian usually starts the process by contacting your old provider, though some ask you to submit the paperwork to your existing provider yourself.
A rollover works differently. You take a distribution from your existing HSA, and then you deposit that money into a new HSA. Because the funds pass through you, the IRS applies stricter rules: you have 60 days to complete the deposit, and you can only do one HSA rollover in any 12-month period across all of your HSAs.3Office of the Law Revision Counsel. 26 USC 223 Health Savings Accounts – Section: (f)(5) Rollovers also have to be reported on your return.
You do not have to move the entire balance either way. A partial transfer is fine, and it lets you keep the old account open. That is useful when your employer deposits contributions into one HSA but you want to invest through a different custodian.
One important overlap: neither method requires you to still be enrolled in a high-deductible health plan. If your coverage has changed and you can no longer contribute, the existing balance is still yours to move. And because a rollover is not a contribution, it does not count against your annual HSA contribution limit.2Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans – Section: Rollovers
The Rollover Deadline and Once-Per-Year Rule
The 60-day window is firm. Once you receive the distribution from your HSA, the clock starts, and the money has to land in another HSA by the 60th day.4Office of the Law Revision Counsel. 26 USC 223 Health Savings Accounts – Section: (f)(5)(A) Miss it, and the whole amount becomes a taxable distribution. You will owe regular income tax on it, plus an additional 20 percent tax if you are under 65.5Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans – Section: Additional Tax After 65 the 20 percent penalty drops away, but the money is still counted as income.
Unlike IRA rollovers, there is no self-certification procedure to fix a missed HSA deadline. The waiver rules under Revenue Procedure 2016-47 apply to retirement plans and IRAs, not HSAs. If you blow the 60 days, you owe the tax.
The once-per-year rule works by looking backward. When you take a distribution you intend to roll over, the IRS checks whether you completed another HSA rollover in the previous 12 months. If you did, the new one does not qualify and becomes taxable.6Office of the Law Revision Counsel. 26 USC 223 Health Savings Accounts – Section: (f)(5)(B) Direct trustee-to-trustee transfers do not count as rollovers for this purpose, so you can do them as often as you want.2Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans – Section: Rollovers
All of which points to the same practical answer: use a direct transfer when you can. It sidesteps the deadline, the frequency limit, and the reporting.
How to Start the Transfer
Open the new HSA first if you have not already. Then gather:
- Your current HSA account number and the new HSA account number.
- The full legal names and mailing addresses of both custodians.
- The amount you plan to move, whether that is the full balance or a specific dollar figure.
Most receiving institutions provide a transfer request form on their website or through customer service. It will ask for the old custodian’s name, address, and account number, plus the amount. Fill it out carefully. Mismatched account numbers and wrong custodian addresses are the most common causes of delay.
For large transfers, some custodians require a Medallion Signature Guarantee, a specialized stamp from a bank or brokerage that verifies your identity. It is most often required for transfers above $100,000, wire transfers, or cases where the receiving account has a different name on it. Most banks and brokerage offices provide the stamp in person.
After you submit the paperwork, the receiving institution contacts your old custodian to arrange the release of funds. The process usually takes two to five weeks, sometimes longer if the old provider is slow to respond.
If Your HSA Is Invested
If your HSA holds stocks, bonds, mutual funds, or other investments, there is an extra step. Many custodians require you to liquidate your holdings and convert them to cash before releasing the funds. That means you may be out of the market for the duration of the transfer.
Some providers allow in-kind transfers, where the investments themselves move to the new custodian without being sold. These go through the Automated Customer Account Transfer Service (ACATS) and can finish in as little as three to five business days when both custodians support it. Proprietary funds, meaning ones your current custodian created and manages exclusively, generally cannot move in kind and have to be sold.
Before you start, ask both custodians whether in-kind transfer is available. If liquidation is required, plan for the sale time. Capital gains inside an HSA are not taxed, so this is only a market-timing concern, not a tax concern.
Reporting the Move on Your Taxes
How you report the move depends entirely on which method you used.
Direct trustee-to-trustee transfers do not appear on your return at all. Your old custodian will not issue a Form 1099-SA for the transaction, and you do not report it as a distribution or a contribution on Form 8889.7Internal Revenue Service. Instructions for Forms 1099-SA and 5498-SA – Section: Transfers As far as the IRS is concerned, nothing happened.
Rollovers need more attention. Your old custodian will issue a Form 1099-SA showing the distribution, typically with distribution code 1.8Internal Revenue Service. Instructions for Forms 1099-SA and 5498-SA On Form 8889, you report the rollover amount on Line 14b to show that the distribution was redeposited into another HSA and is not taxable. Do not put the rollover on Line 2 as a contribution. Rollovers are not contributions.9Internal Revenue Service. Instructions for Form 8889 – Section: Rollovers Skip Line 14b, and the IRS may treat the whole thing as a taxable distribution even though the money never left HSA status.
Fees to Watch For
Most HSA custodians charge to move funds out. Account closure and transfer-out fees usually run $20 to $25 per transaction, though some providers charge more. The receiving institution may also charge a setup or incoming transfer fee, though many waive it to win new accounts.
Weigh the outgoing fee against what you expect to save at the new custodian. If your current provider charges high monthly maintenance fees and the new one does not, a $25 transfer fee pays for itself quickly. Also check that your remaining balance clears any minimum deposit at the new institution. Some custodians charge low-balance fees or restrict investment access below certain thresholds.
Special Situations
After Medicare Enrollment
Once you enroll in Medicare, your contribution limit drops to zero and you cannot add new money to the account. That restriction covers contributions, not moves between HSAs. You can still transfer your balance to a different custodian through a direct trustee-to-trustee transfer at any time after enrolling. Rollovers also remain available: the IRS says you do not need to be an eligible individual to roll over from one HSA to another.2Internal Revenue Service. Publication 969 (2025), Health Savings Accounts and Other Tax-Favored Health Plans – Section: Rollovers The 60-day and once-per-year rules still apply.
Divorce
If a divorce decree or separation agreement requires you to transfer part or all of your HSA to a spouse or former spouse, the transfer is not taxable. After the move, the funds are treated as the former spouse’s HSA.10Office of the Law Revision Counsel. 26 USC 223 Health Savings Accounts – Section: (f)(7) The transfer has to be incident to the divorce, which means it either occurs within one year of the marriage ending or is carried out under the divorce instrument within six years.11Internal Revenue Service. Publication 504 (2025), Divorced or Separated Individuals
Death of the Account Holder
If the designated beneficiary is a spouse, the HSA simply becomes the surviving spouse’s account, reported on their own Form 8889 going forward.12Internal Revenue Service. Instructions for Form 8889 – Section: Death of HSA Holder They can spend it on qualified medical expenses, contribute if otherwise eligible, or transfer it to a different custodian using any of the methods above. If the beneficiary is anyone other than the spouse, the account loses its HSA status on the date of death, and the fair market value becomes taxable income to that beneficiary for that year.