Can One Spouse Have an HSA and the Other an HRA? - Understanding Health Savings Accounts and Health Reimbursement Arrangements

When it comes to managing healthcare expenses, Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs) can be valuable tools. But can one spouse have an HSA while the other has an HRA? Let's delve into this scenario to understand how these accounts work.

HSAs and HRAs are both types of tax-advantaged accounts that help individuals save for medical expenses. Here are some key points to consider:

  • HSAs are individually owned accounts that can only be used by the account holder, regardless of marital status.
  • HRAs, on the other hand, are typically sponsored by an employer and can be tailored to cover expenses for both the employee and their dependents.
  • Spouses can both have separate HSAs if they each meet the eligibility criteria, including being covered by a high-deductible health plan (HDHP).
  • However, if one spouse has an HRA through their employer, the other spouse may not contribute to an HSA if the HRA is considered a disqualifying health plan.
  • It's essential to review the specific details of each account type and consult with a financial advisor or benefits specialist to determine the best strategy for managing healthcare costs as a couple.

While it may be possible for one spouse to have an HSA and the other an HRA, careful consideration of eligibility requirements and plan rules is crucial to avoid any potential complications.


Understanding healthcare financing can be complex, especially when it comes to the relationship between Health Savings Accounts (HSAs) and Health Reimbursement Arrangements (HRAs). In many households, one spouse may prefer to utilize an HSA while the other navigates through an HRA.

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