Can You Share an HSA with Your Spouse?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare costs, but many people wonder if they can share an HSA with their spouse. The short answer is yes, you can share an HSA with your spouse under certain circumstances.

HSAs are individual accounts, meaning each person has their own account. However, spouses are allowed to contribute to each other's HSAs, even if only one spouse has an HSA-eligible high deductible health plan (HDHP). Here are some key points to consider when sharing an HSA with your spouse:

  • Both spouses must be eligible to contribute to an HSA. This means both spouses must be covered by an HSA-eligible HDHP and cannot be covered by any other non-HDHP health insurance.
  • Each spouse has their own contribution limit set by the IRS, but both can contribute to each other's accounts.
  • Contributions made by either spouse are considered jointly owned funds, meaning both spouses have an equal claim to the funds in the HSA.
  • Qualified medical expenses for either spouse, their dependents, or any other tax dependents can be paid from the shared HSA.
  • Upon the death of one spouse, the surviving spouse becomes the owner of the HSA and can use the funds for qualified medical expenses.

Sharing an HSA with your spouse can provide flexibility and additional savings opportunities for healthcare expenses. Be sure to consult with a tax professional or financial advisor to understand the rules and guidelines surrounding shared HSAs.


Many couples often ask if it's possible to share a Health Savings Account (HSA), and the answer is a resounding yes! Sharing an HSA can be an effective way to manage healthcare costs together, but it's important to understand the specifics. Spouses can make contributions to each other's HSAs, allowing for joint health expense management.

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