Can Spouses Be Covered on Each Other's HSA?

When it comes to Health Savings Accounts (HSAs), spouses have some flexibility in terms of coverage. One common question that arises is whether spouses can be covered on each other's HSA. The short answer is yes, spouses can be covered on each other's HSA, but there are some rules and considerations to keep in mind.

Here are some key points to understand about spouses being covered on each other's HSA:

  • Spouses can be covered on each other's HSA if they are considered eligible individuals.
  • Both spouses must be enrolled in a High Deductible Health Plan (HDHP) to be eligible for opening an HSA.
  • Each spouse cannot have their own individual HSA and contribute to both accounts, but they can contribute to one HSA account that covers both of them.
  • Contributions to an HSA must follow the annual contribution limits set by the IRS.
  • Spouses can use funds from one HSA to pay for qualified medical expenses for themselves, their spouse, or any tax dependents.

Overall, having spouses covered on each other's HSA can be a convenient way to manage healthcare expenses and maximize tax benefits. It's important to communicate with your HSA provider and understand the rules and guidelines to make the most out of this option.


When it comes to Health Savings Accounts (HSAs), spouses have some unique avenues for coverage that can simplify healthcare finances. Yes, spouses can indeed be covered under each other's HSA, which brings a range of options for managing healthcare expenditures.

Here are some essential aspects to consider about spouses covering each other's HSAs:

  • For spouses to be covered under an HSA, they both need to be seen as eligible individuals.
  • Eligibility for an HSA requires that both partners hold a High Deductible Health Plan (HDHP) together.
  • While spouses cannot each have a separate HSA and contribute to both, they can jointly contribute to one HSA account meant to cover both.
  • Be mindful that the contributions made to this account are bound by the annual limits established by the IRS.
  • An added flexibility is that spouses can utilize the funds from one HSA to cover qualified medical expenses not just for themselves but also for their spouse and any tax dependents.

Sharing an HSA can lead to more manageable healthcare expenses and meaningful tax advantages. It’s crucial, however, to stay informed about the rules regarding HSAs both from your provider and the IRS guidelines.

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