Can a Spouse Have an HSA? - Understanding Health Savings Accounts Together

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. One common question that arises is whether a spouse can also have an HSA. The answer is yes, a spouse can have an HSA as long as certain criteria are met.

For spouses to have an HSA:

  • Both spouses must be covered by a High Deductible Health Plan (HDHP).
  • The couple cannot be enrolled in Medicare.
  • One spouse cannot be claimed as a dependent on the other spouse's tax return.

Having an HSA as a couple can provide even more savings opportunities and flexibility in managing healthcare costs. Here are some key benefits:

  • Contributions made to an HSA are tax-deductible.
  • Interest and earnings on HSA funds grow tax-free.
  • Withdrawals for qualified medical expenses are tax-free.

It's important to note that while spouses can both have individual HSAs, the contribution limit applies to each individual account separately. For 2021, the contribution limit is $3,600 for individuals and $7,200 for families.

By understanding the rules and advantages of having an HSA as a couple, spouses can make informed decisions about their healthcare savings strategy and enjoy the benefits of tax savings and financial security.


Health Savings Accounts (HSAs) not only facilitate tax savings but also allow couples to manage their healthcare spending more effectively. As long as both partners are covered under a High Deductible Health Plan (HDHP) and meet specific criteria, each can have their own HSA to enjoy various benefits.

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