Can a Married Couple Do an FSA and HSA?

Many married couples often wonder if they can both participate in a Flexible Spending Account (FSA) and a Health Savings Account (HSA). The short answer is yes, but with a few caveats.

Firstly, it's essential to understand the rules and limitations surrounding FSAs and HSAs. Here are some key points to consider:

  • Both spouses can have separate FSA accounts through their employers if offered.
  • One spouse can have an FSA while the other has an HSA.
  • If both spouses have an HSA, the contribution limit applies to the total family contribution.

It's important to note that having both an FSA and an HSA may impact your eligibility for certain tax benefits. Additionally, coordination between the two accounts is crucial to avoid any overlapping or double-dipping of funds.

Married couples should assess their healthcare needs, anticipated expenses, and tax implications before deciding to utilize both FSA and HSA options. Consulting a financial advisor or tax professional can provide personalized guidance based on your specific circumstances.


It’s common for married couples to ask whether they can utilize both a Flexible Spending Account (FSA) and a Health Savings Account (HSA). The good news is that they can indeed take advantage of both, but there are some important factors to keep in mind.

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