Can One Spouse Have an HSA and the Other an FSA?

Health savings accounts (HSAs) and flexible spending accounts (FSAs) are both popular ways to save for medical expenses while enjoying tax benefits. However, if you're married, you may wonder if both spouses can have different accounts – one with an HSA and the other with an FSA.

The short answer is yes! Each spouse can have their own HSA or FSA, or one spouse can have an HSA while the other has an FSA. Let's dive deeper into the details:

Health Savings Account (HSA) vs. Flexible Spending Account (FSA)

Before we look at whether one spouse can have an HSA and the other an FSA, let's understand the differences between these two accounts:

  • HSA: Owned by an individual, contributions are tax-deductible, grow tax-free, and can be used for qualified medical expenses. You must be enrolled in a high-deductible health plan (HDHP) to qualify for an HSA.
  • FSA: Sponsored by an employer, contributions are pre-tax, and funds must be used within the plan year or grace period. There are no eligibility requirements like with an HSA.

Can Spouses Have Different Accounts?

Given the differences between HSAs and FSAs, it's entirely possible for one spouse to have an HSA while the other has an FSA. Here's how it can work:

  • One spouse may have access to an HSA through their employer-sponsored HDHP, while the other spouse may choose to enroll in the employer's FSA.
  • If both spouses are eligible for an HSA through their respective employers, they can each open their own HSA accounts.

Remember that contribution limits apply individually to each account, so make sure to stay within the limits for your specific account type.

Benefits of Having Both HSA and FSA

Having both an HSA and an FSA can provide additional flexibility and coverage for medical expenses:

  • HSAs offer long-term savings and investment opportunities, while FSAs provide a way to cover immediate out-of-pocket costs.
  • Using both accounts strategically can help you maximize tax benefits and savings for healthcare expenses.

So, if you're wondering whether one spouse can have an HSA and the other an FSA, the answer is a resounding yes! Having both types of accounts can offer you and your family comprehensive coverage for medical costs with added tax benefits.


It’s a common scenario; you’re married and wondering about the best way to manage health expenses. Rest assured, if one spouse has a health savings account (HSA) and the other a flexible spending account (FSA), both can enjoy the unique benefits that each account brings.

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