Can Me and My Spouse Have an HSA? - Understanding HSA Eligibility for Couples

If you're considering an HSA (Health Savings Account) for you and your spouse, you might be wondering about the eligibility rules. The good news is that yes, you and your spouse can have an HSA together under certain conditions.

Here are some key points to consider:

  • Both you and your spouse must be covered by a High Deductible Health Plan (HDHP).
  • You cannot be claimed as a dependent on someone else's tax return.
  • You cannot be enrolled in Medicare.
  • Each spouse can have their own individual HSA account, but the contribution limit applies to the total contributions for both accounts.
  • If only one spouse has an HDHP, only that spouse can have an HSA.

Having an HSA as a couple can help you save for medical expenses tax-free and build a financial safety net for future healthcare needs. It's important to understand the eligibility requirements and contribution limits to make the most of your HSA benefits. Consult with a financial advisor or tax professional for personalized guidance.


If you're considering setting up a Health Savings Account (HSA) along with your spouse, you'll be pleased to know that it is indeed possible, provided you meet the necessary guidelines. In both cases, it's essential to follow the eligibility rules to take full advantage of this financial tool.

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