Can Family Members Without HDHP Use HSA Funds to Reimburse Medical Expenses?

When it comes to Health Savings Accounts (HSAs), many people wonder if family members who are not covered under a High Deductible Health Plan (HDHP) can use HSA funds to reimburse medical expenses. The short answer is yes, but with some important considerations.

Here are some key points to keep in mind:

  • Only the HSA account holder can make contributions to the HSA.
  • Family members who are not covered by an HDHP cannot contribute to the HSA.
  • However, any qualified medical expenses incurred by the account holder, their spouse, or their dependents can be reimbursed using HSA funds.
  • Qualified medical expenses include a wide range of healthcare services, treatments, and products.
  • If a family member without an HDHP incurs a qualified medical expense, the HSA account holder can use their HSA funds to reimburse that expense.
  • It's important to keep thorough records and receipts of all medical expenses to ensure proper documentation and compliance with HSA regulations.

So, while only the HSA account holder can contribute to the HSA, the funds can be used to reimburse qualified medical expenses for the entire family, including those not covered under an HDHP.


Many individuals with Health Savings Accounts (HSAs) ponder the capabilities of their funds, particularly when it involves family members who lack High Deductible Health Plan (HDHP) coverage. Fortunately, there’s a silver lining: while contributions to the HSA must come from the account holder, funds can be utilized to cover qualified medical expenses for a broader family range.

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