Can You Have an HSA If Your Spouse Has an FSA?

Many individuals wonder whether they can have a Health Savings Account (HSA) if their spouse has a Flexible Spending Account (FSA). The short answer is yes, you can have both an HSA and an FSA at the same time, but there are some important considerations to keep in mind.

Here are a few key points to know:

  • While you can have both an HSA and an FSA, your spouse's FSA coverage may impact your HSA contribution limits.
  • If your spouse has a Healthcare FSA, you will have limited contributions to your HSA because the Healthcare FSA is considered a disqualifying health coverage.
  • If your spouse has a Limited-Purpose FSA or a Dependent Care FSA, it will not affect your HSA contributions.
  • It's crucial to communicate with your spouse and coordinate your healthcare benefits to maximize your savings and tax advantages.

Having both an HSA and an FSA can provide you with greater flexibility in covering your healthcare expenses and saving for the future. Make sure to understand the rules and limitations of each account to make the most of these benefits.


Many people wonder if they can open a Health Savings Account (HSA) when their spouse already has a Flexible Spending Account (FSA), and the good news is that in most cases, you can indeed have both! This flexibility allows families to save on healthcare costs while enjoying the tax benefits that both accounts offer.

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