diff --git a/apps/web/src/components/views/dialogs/UserSettingsDialog.tsx b/apps/web/src/components/views/dialogs/UserSettingsDialog.tsx
index 43f15232e5..6604577d8c 100644
--- a/apps/web/src/components/views/dialogs/UserSettingsDialog.tsx
+++ b/apps/web/src/components/views/dialogs/UserSettingsDialog.tsx
@@ -267,8 +267,12 @@ export default function UserSettingsDialog(props: IProps): JSX.Element {
         return tabs as NonEmptyArray<Tab<UserTab>>;
     };
 
-    const defaultTab = moduleSettingsTabs.length > 0 ? (moduleSettingsTabs[0].key as UserTab) : UserTab.Account;
-    const [activeTabId, _setActiveTabId] = useActiveTabWithDefault(getTabs(), defaultTab, props.initialTabId);
+    const tabs = getTabs();
+    // Prefer the first module-registered tab (e.g. HealthChat "Profil"); otherwise fall back to the first
+    // tab that actually renders. The Account tab is disabled for HealthChat, so it cannot be the default —
+    // using it would leave no tab active and a blank panel when no module tab is present.
+    const defaultTab = moduleSettingsTabs.length > 0 ? (moduleSettingsTabs[0].key as UserTab) : tabs[0].id;
+    const [activeTabId, _setActiveTabId] = useActiveTabWithDefault(tabs, defaultTab, props.initialTabId);
     const setActiveTabId = (tabId: UserTab): void => {
         _setActiveTabId(tabId);
         // Clear these so switching away from the tab and back to it will not show the QR code again
diff --git a/apps/web/test/unit-tests/components/views/dialogs/UserSettingsDialog-test.tsx b/apps/web/test/unit-tests/components/views/dialogs/UserSettingsDialog-test.tsx
index cd04abfde7..9368a73cac 100644
--- a/apps/web/test/unit-tests/components/views/dialogs/UserSettingsDialog-test.tsx
+++ b/apps/web/test/unit-tests/components/views/dialogs/UserSettingsDialog-test.tsx
@@ -84,23 +84,25 @@ describe("<UserSettingsDialog />", () => {
     const getActiveTabLabel = (container: Element) =>
         container.querySelector(".mx_TabbedView_tabLabel_active")?.textContent;
 
-    it("should render general settings tab when no initialTabId", () => {
+    it("should render the first tab when no initialTabId", () => {
+        // HealthChat disables the Account tab and (in unit tests) loads no module tab, so the first
+        // rendered tab (Sessions) is the default.
         const { container } = render(getComponent());
 
-        expect(getActiveTabLabel(container)).toEqual("Account");
+        expect(getActiveTabLabel(container)).toEqual("Sessions");
     });
 
     it("should render initial tab when initialTabId is set", () => {
-        const { container } = render(getComponent({ initialTabId: UserTab.Help }));
+        const { container } = render(getComponent({ initialTabId: UserTab.Notifications }));
 
-        expect(getActiveTabLabel(container)).toEqual("Help & About");
+        expect(getActiveTabLabel(container)).toEqual("Notifications");
     });
 
-    it("should render general tab if initialTabId tab cannot be rendered", () => {
-        // mjolnir tab is only rendered in some configs
+    it("should render the default tab if initialTabId tab cannot be rendered", () => {
+        // mjolnir tab is only rendered in some configs, so it falls back to the default (Sessions)
         const { container } = render(getComponent({ initialTabId: UserTab.Mjolnir }));
 
-        expect(getActiveTabLabel(container)).toEqual("Account");
+        expect(getActiveTabLabel(container)).toEqual("Sessions");
     });
 
     it("renders tabs correctly", () => {
@@ -180,7 +182,8 @@ describe("<UserSettingsDialog />", () => {
         expect(screen.getByRole("heading", { level: 1 })).toHaveTextContent("Settings: Security & Privacy");
     });
 
-    it("renders with labs tab selected", () => {
+    // HealthChat disables the Labs tab "for now" (UserSettingsDialog.tsx). Restore when re-enabled.
+    it.skip("renders with labs tab selected", () => {
         SdkConfig.add({
             show_labs_settings: true,
         });
@@ -197,14 +200,16 @@ describe("<UserSettingsDialog />", () => {
         expect(screen.getByRole("heading", { level: 1 })).toHaveTextContent("Ignored Users");
     });
 
-    it("renders with help tab selected", () => {
+    // HealthChat disables the Help tab "for now" (UserSettingsDialog.tsx). Restore when re-enabled.
+    it.skip("renders with help tab selected", () => {
         const { container } = render(getComponent({ initialTabId: UserTab.Help }));
 
         expect(getActiveTabLabel(container)).toEqual("Help & About");
         expect(screen.getByRole("heading", { level: 1 })).toHaveTextContent("Settings: Help & About");
     });
 
-    it("renders labs tab when show_labs_settings is enabled in config", () => {
+    // HealthChat disables the Labs tab "for now" (UserSettingsDialog.tsx). Restore when re-enabled.
+    it.skip("renders labs tab when show_labs_settings is enabled in config", () => {
         SdkConfig.add({
             show_labs_settings: true,
         });
@@ -212,7 +217,8 @@ describe("<UserSettingsDialog />", () => {
         expect(getByTestId(`settings-tab-${UserTab.Labs}`)).toBeTruthy();
     });
 
-    it("renders labs tab when some feature is in beta", () => {
+    // HealthChat disables the Labs tab "for now" (UserSettingsDialog.tsx). Restore when re-enabled.
+    it.skip("renders labs tab when some feature is in beta", () => {
         mockSettingsStore.getFeatureSettingNames.mockReturnValue([
             "feature_beta_setting",
             "feature_just_normal_labs",
diff --git a/apps/web/test/unit-tests/components/views/dialogs/__snapshots__/UserSettingsDialog-test.tsx.snap b/apps/web/test/unit-tests/components/views/dialogs/__snapshots__/UserSettingsDialog-test.tsx.snap
index 9483487ef2..147cbcfd61 100644
--- a/apps/web/test/unit-tests/components/views/dialogs/__snapshots__/UserSettingsDialog-test.tsx.snap
+++ b/apps/web/test/unit-tests/components/views/dialogs/__snapshots__/UserSettingsDialog-test.tsx.snap
@@ -4,8 +4,8 @@ exports[`<UserSettingsDialog /> renders tabs correctly 1`] = `
 NodeList [
   <li
     aria-controls="mx_tabpanel_USER_SESSION_MANAGER_TAB"
-    aria-selected="false"
-    class="mx_AccessibleButton mx_TabbedView_tabLabel"
+    aria-selected="true"
+    class="mx_AccessibleButton mx_TabbedView_tabLabel mx_TabbedView_tabLabel_active"
     data-testid="settings-tab-USER_SESSION_MANAGER_TAB"
     role="tab"
     tabindex="0"