Can a Married Couple Have both an HSA and FSA? - HSA Awareness

Are you and your spouse looking into health savings options and wondering whether you can have both a Health Savings Account (HSA) and a Flexible Spending Account (FSA)?

Good news – yes, as a married couple, you can have both an HSA and FSA, but with some restrictions and considerations to keep in mind.

Here are the key points to know:

  • Each spouse can have their individual HSA accounts if they are enrolled in a qualified high-deductible health plan (HDHP) and not covered by other non-HDHP health insurance.
  • If one spouse has a family coverage HSA, the other spouse cannot have their own individual HSA.
  • Both spouses can participate in their employer-sponsored FSAs, even if one spouse has an HSA.
  • Contributions to both HSA and FSA accounts are subject to annual limits set by the IRS.
  • It's important to avoid overlapping uses of HSA and FSA funds to comply with tax regulations.

By understanding the rules and maximizing the benefits of both HSA and FSA accounts, married couples can effectively manage their healthcare expenses while saving on taxes.


Are you and your spouse diving into the world of health savings and wondering if you can juggle both a Health Savings Account (HSA) and a Flexible Spending Account (FSA)? The good news is that married couples can absolutely have both, but there are some rules to consider.

Each of you can hold your own HSA accounts if you're both enrolled in a qualified high-deductible health plan (HDHP). Just make sure neither of you is covered by another non-HDHP plan!

If one of you has a family coverage HSA, it’s important to note that the other spouse won’t be able to open their own individual HSA. However, worry not – both of you can still have employer-sponsored FSAs, even alongside an HSA!

It’s crucial to keep in mind that contributions to HSA and FSA accounts must adhere to the annual limits set by the IRS. Also, ensure there are no overlapping uses of funds between HSA and FSA to stay compliant with tax regulations.

With a clear understanding of the guidelines, married couples can efficiently navigate their healthcare costs while reaping tax benefits.

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