Can My Spouse Have Both an FSA and HSA? Understanding Health Savings Accounts and Flexible Spending Accounts

When it comes to managing healthcare expenses, many individuals and families rely on different savings accounts like FSAs (Flexible Spending Accounts) and HSAs (Health Savings Accounts). However, a common question that arises is whether a spouse can have both an FSA and an HSA at the same time.

For those who are wondering, the short answer is yes, but with some limitations and considerations. Let's dive deeper into this topic to provide a better understanding:

Firstly, it's essential to understand the basic differences between an FSA and an HSA:

  • FSA (Flexible Spending Account): This account is typically offered by an employer, allowing employees to contribute pre-tax dollars to pay for qualified medical expenses. The funds in an FSA must be used within the plan year, with a limited carryover or grace period.
  • HSA (Health Savings Account): An HSA is available to individuals enrolled in a high-deductible health plan (HDHP). Contributions to an HSA are tax-deductible, the funds roll over from year to year, and the account is portable even if you change jobs.

Now, let's address whether a spouse can have both accounts simultaneously:

Yes, a spouse can have both an FSA and an HSA, but there are some important points to consider:

  • Spouse's Eligibility: To contribute to an HSA, your spouse must be enrolled in a high-deductible health plan (HDHP) and not be covered by another non-HDHP.
  • Contribution Limits: The total contribution limit for both FSAs and HSAs is set annually by the IRS. For 2021, the maximum contribution limit for an individual HSA is $3,600, and for a family HSA, it's $7,200.
  • Coordination of Benefits: It's essential to coordinate the use of funds between the FSA and HSA to avoid any penalties or tax implications.
  • Qualified Expenses: Both spouses can use funds from their respective accounts to pay for qualified medical expenses for themselves, their spouse, and dependents.

In conclusion, it is possible for a spouse to have both an FSA and an HSA, as long as they meet the eligibility requirements and abide by the contribution limits and guidelines set by the IRS.


When navigating healthcare expenses, understanding the distinctions between Flexible Spending Accounts (FSAs) and Health Savings Accounts (HSAs) is crucial, especially for couples considering their options.

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