Can a Spouse Use HSA Account? - Understanding Health Savings Accounts

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. One common question many individuals have is whether a spouse can use an HSA account. The answer is yes, a spouse can use the HSA account if they are listed as a beneficiary.

It's important to note that while a spouse can use the HSA account, both individuals cannot have separate HSA accounts. Only one account can be opened per eligible individual, whether it's the primary account holder or the spouse.

Here are some key points to keep in mind regarding spouses and HSA accounts:

  • A spouse can use the funds in the HSA account for their qualified medical expenses.
  • The account holder is responsible for ensuring that the expenses paid for from the HSA account are eligible medical expenses.
  • If the primary account holder passes away, the spouse can inherit the HSA account and continue using it for medical expenses.
  • It's essential to communicate with your spouse about how the HSA funds are being used to avoid any discrepancies or misunderstandings.

Overall, having a spouse use an HSA account can be beneficial in maximizing savings and flexibility when it comes to covering medical costs. By understanding the rules and regulations surrounding HSA accounts, couples can effectively manage their healthcare expenses while taking advantage of the tax benefits provided.


Many couples are curious about the benefits of Health Savings Accounts (HSAs) and if a spouse can access these funds. The good news is that when an HSA account holder lists their spouse as a beneficiary, they can freely use the funds for qualified medical expenses.

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