Can Both Spouses Have an HSA? Exploring HSA Eligibility for Couples

Are you a married couple wondering if both spouses can have an HSA? The answer is yes, as long as you meet certain eligibility criteria. Health Savings Accounts (HSAs) are a popular way for individuals and families to save for medical expenses while enjoying tax benefits. If you and your spouse both have qualifying high-deductible health plans (HDHPs), you can each open an HSA.

Here are some key points to consider:

  • Both spouses must be covered by a qualifying high-deductible health plan (HDHP).
  • The HDHP must meet certain IRS requirements for deductible and out-of-pocket maximum limits.
  • Each spouse can contribute to their individual HSA account up to the annual contribution limit set by the IRS.
  • If only one spouse has an HDHP, the other spouse can still be covered under the plan, but they cannot have their own HSA.
  • HSAs offer triple tax advantages: contributions are tax-deductible, earnings are tax-free, and withdrawals for qualified medical expenses are tax-free.
  • Unused HSA funds roll over from year to year, allowing you to save for future medical expenses.

By understanding the rules and benefits of HSAs, married couples can make informed decisions about their healthcare and financial planning. So, if both you and your spouse meet the eligibility requirements, you can each have your own HSA to manage and utilize for medical expenses.


Marriage often brings many financial decisions, including how to manage healthcare costs. If both you and your spouse have high-deductible health plans (HDHPs), you can confidently open individual Health Savings Accounts (HSAs) to optimize your medical expenses and tax savings.

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