Can I Use My HSA for My Husband's Medical Expenses Who is Retired and on Medicare?

Having a Health Savings Account (HSA) can be a great tool to save for medical expenses. But when it comes to using your HSA for your husband's medical expenses, who is retired and on Medicare, there are some important factors to consider.

Here's what you need to know:

  • As the account holder, you can use your HSA funds to pay for qualified medical expenses for your spouse, even if they are on Medicare.
  • Medicare coverage does not impact your ability to use HSA funds for your spouse's medical expenses.
  • However, there are some restrictions to keep in mind:
    • You can only use HSA funds for your spouse's medical expenses that are considered qualified medical expenses under IRS guidelines.
    • If your spouse has other health coverage in addition to Medicare, such as an FSA or HRA, it may impact their eligibility to contribute to their own HSA.
    • Once your spouse is enrolled in Medicare, they can no longer contribute to an HSA, but the funds already in the account can still be used for their medical expenses.

Ultimately, using your HSA for your retired husband's medical expenses on Medicare is possible, as long as the expenses are qualified medical expenses.


Using your Health Savings Account (HSA) can be advantageous for managing healthcare costs, especially when considering your retired husband who is now enrolled in Medicare. It’s good to know that you can utilize your HSA to cover qualified medical expenses for him without any issues arising from his Medicare status.

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