Can I Contribute to HSA if Spouse is on Medicare?

If your spouse is on Medicare, you can still contribute to a Health Savings Account (HSA) as an individual. However, you need to be aware of certain rules and limitations regarding HSA contributions when one spouse is covered by Medicare.

Here are some important points to consider:

  • You can only contribute to your own HSA if your spouse is on Medicare. Contributions cannot be made to a family HSA in this case.
  • The contribution limit for an individual with self-only coverage is different from the limit for an individual with family coverage. Make sure you are aware of the correct limit when contributing to your HSA.
  • If you are 55 or older, you may be eligible to make catch-up contributions to your HSA, regardless of your spouse's Medicare status.
  • It's essential to understand the tax implications of HSA contributions and withdrawals, especially when one spouse is covered by Medicare.
  • Consult with a tax advisor or financial planner to ensure you are following the rules correctly and maximizing the benefits of your HSA.

Even if your spouse is on Medicare, you can still take advantage of the tax benefits offered by an HSA. By staying informed and managing your contributions effectively, you can make the most of this valuable healthcare savings tool.


If your spouse is currently enrolled in Medicare, you still have the opportunity to contribute to your own Health Savings Account (HSA). It's important to recognize that certain restrictions apply to these contributions in such circumstances.

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