Can I Use My HSA Funds to Pay for My Spouse's Medicare Expenses? QHFD Scottrade

Many people wonder if they can use their Health Savings Account (HSA) funds to pay for their spouse's Medicare expenses. The good news is, in most cases, the answer is yes. HSA funds can be used to cover qualified medical expenses for your spouse, including Medicare premiums, deductibles, copayments, and coinsurance.

It's essential to understand the rules and regulations surrounding HSA contributions and withdrawals to ensure you are using the funds correctly. Here are a few key points to consider:

  • HSAs are designed to help individuals save for qualified medical expenses tax-free.
  • You can use HSA funds to pay for your spouse's Medicare Part A, B, C, and D expenses.
  • If you or your spouse is age 65 or older, you can use HSA funds to pay for Medicare premiums but not for Medigap premiums.

By utilizing your HSA funds to pay for your spouse's Medicare expenses, you can further leverage the tax advantages of your HSA while ensuring your loved one receives the medical care they need.


Many individuals and couples are curious about the flexibility of their Health Savings Account (HSA) when it comes to covering their spouse's necessary medical costs. Fortunately, you generally can use your HSA funds to cover a variety of Medicare-related expenses for your spouse, such as monthly premiums and various out-of-pocket costs like deductibles and coinsurance.

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