Can I Withdraw Money from My HSA to Repay My Ex for Medical Bills for My Children?

When it comes to using your Health Savings Account (HSA) for qualified medical expenses, the rules can sometimes be a bit tricky. One common question that arises is whether you can withdraw money from your HSA to repay your ex for medical bills for your children.

The key thing to remember is that HM Revenue and Customs (HMRC) regulations are clear about the fact that you can't use your HSA funds to pay for medical expenses of anyone who is not a qualified dependent on your taxes, including your ex-spouse. However, there are some scenarios where you may be able to indirectly use your HSA funds to contribute to your children's medical expenses, even if they are in your ex's care.

For example, if your divorce agreement specifies that you are responsible for a portion of your children's medical bills, you can pay those bills out of pocket, keep the receipts, and then reimburse yourself from your HSA. This way, the expenses are still being paid by you, the account holder, and are considered qualifying medical expenses.

Another option is to work with your ex to see if they can contribute to the HSA account, which can then be used to pay for the children's medical bills. However, this approach may require cooperation and communication between both parties.

It's important to note that using HSA funds for non-qualified medical expenses can result in tax penalties, so it's essential to understand the rules and guidelines before using your HSA funds in this way.


When considering the intricacies of your Health Savings Account (HSA), a frequent query is whether one can withdraw HSA funds to reimburse an ex-spouse for medical expenses incurred for children. Unfortunately, IRS guidelines state that HSA funds can only be used for qualified medical expenses for dependents you claim on your tax return, which doesn't extend to an ex-partner.

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