Can You Have an HSA Account with a Dependant Child Secondary Insurance on MassHealth?

Health Savings Accounts (HSAs) are a great way to save and pay for qualified medical expenses with pre-tax dollars. However, many people are unsure if they can have an HSA account while also having a dependent child covered under secondary insurance like MassHealth.

The short answer is that it depends on the specific circumstances. Here are some key points to consider:

  • If you have an HSA account, you can use it to pay for eligible medical expenses for yourself, your spouse, and your dependents claimed on your tax return.
  • MassHealth, as secondary insurance for your child, does not affect your ability to have an HSA account. Your child being covered by MassHealth won't disqualify you from contributing to or using your HSA funds for their expenses.
  • However, your child being covered under MassHealth may affect what expenses you can use your HSA funds for. MassHealth coverage may limit the out-of-pocket expenses you incur for your child, which could impact your HSA eligibility for those expenses.

In conclusion, having a dependent child covered by secondary insurance like MassHealth does not necessarily prevent you from having an HSA account. The important factor to consider is how MassHealth coverage may impact your HSA-eligible expenses.


Health Savings Accounts (HSAs) provide a valuable opportunity for individuals and families to save money on healthcare costs. If you have a dependent child who is covered by secondary insurance such as MassHealth, you might wonder how that affects your HSA. Let’s break it down.

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