Can You Use HSA Funds for Spouse Health Insurance If I Am 65 and Spouse Is Not?

Health Savings Accounts (HSAs) are a great way to save for medical expenses while enjoying tax benefits. When it comes to using HSA funds for your spouse's health insurance, there are some important rules to keep in mind. If you are 65 and your spouse is not, you may still be able to use your HSA funds for your spouse's health insurance premiums, as long as the following conditions are met:

  • Your spouse is considered your dependent according to the IRS rules.
  • Your spouse is not enrolled in Medicare.
  • The health insurance premiums paid with HSA funds must be for qualified medical expenses.

It's essential to understand the guidelines surrounding HSA fund usage for your spouse's health insurance to avoid any penalties or tax implications. By meeting the criteria mentioned above, you can use your HSA funds to cover your spouse's health insurance premiums while maximizing the benefits of your account.


Health Savings Accounts (HSAs) provide a tax-advantaged way to set aside money for medical expenses, but understanding the regulations related to your spouse's health insurance is crucial. If you're 65 and your spouse isn't, you can utilize HSA funds for their premiums, provided they are considered a dependent according to the IRS rules and aren’t enrolled in Medicare.

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