Can I Use My HSA Funds for My Spouse on Medicare?

Many people wonder if they can use their HSA funds for their spouse who is on Medicare. The short answer is yes, you can use your HSA funds to pay for qualified medical expenses for your spouse who is on Medicare. Medicare does not cover everything, so having an HSA can be a helpful way to pay for medical expenses that are not covered by Medicare.

There are a few things to keep in mind when using your HSA funds for your spouse on Medicare:

  • Your spouse must be considered your dependent according to IRS rules for you to use your HSA funds for their medical expenses.
  • Only qualified medical expenses are eligible for HSA funds. These include things like deductibles, copayments, coinsurance, and certain other health expenses not covered by Medicare.
  • If you withdraw funds for non-qualified expenses, you may face taxes and penalties.
  • Keep detailed records of the expenses paid for with your HSA funds to ensure compliance with IRS rules.

Remember that your HSA funds can also be used for your dependents' medical expenses even if they are not on your health insurance plan, as long as they meet the IRS requirements for being considered your dependents.


If your spouse is on Medicare, you might be wondering how to best utilize your Health Savings Account (HSA) funds. The great news is that you can indeed use your HSA funds to cover various medical expenses for your spouse. Medicare is excellent for providing health coverage, but it doesn't cover every expense. Using your HSA can be a strategic way to pay for those gaps in coverage.

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