Can Different Spouses Have HRA and HSA? - Understanding Health Savings Accounts and Reimbursement Arrangements

When it comes to managing healthcare expenses, Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) are valuable tools that offer tax advantages and help individuals save for medical costs.

So, can different spouses have both an HRA and HSA?

The answer is yes! In fact, it is quite common for spouses to have both types of accounts, as they serve different purposes and can be used in conjunction to maximize healthcare savings.

Here's a breakdown of how HRA and HSA work:

  • Health Savings Account (HSA):
    • An HSA is a personal account that allows individuals to save pre-tax dollars for qualified medical expenses.
    • Contributions to an HSA are tax-deductible, and the funds can be used tax-free for eligible healthcare expenses.
    • Spouses can each have their own separate HSAs, as long as they are enrolled in a High Deductible Health Plan (HDHP) and meet eligibility criteria.
  • Health Reimbursement Arrangement (HRA):
    • An HRA is an employer-funded benefit that reimburses employees for out-of-pocket medical expenses.
    • HRAs are typically offered in conjunction with group health insurance plans.
    • Spouses can have separate HRAs if they are each covered under their employer's group health plan that includes an HRA component.

Having both an HRA and HSA can provide couples with additional flexibility and options for managing healthcare costs. By utilizing both accounts strategically, spouses can optimize their tax savings and make the most of their healthcare benefits.


When planning for healthcare expenses, many couples wonder about the benefits of having both a Health Savings Account (HSA) and a Health Reimbursement Arrangement (HRA). Fortunately, different spouses can indeed establish both accounts, enabling them to capitalize on the unique advantages each one offers.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter