Does it Matter if My Spouse is on My HSA and He is 65?

When it comes to your Health Savings Account (HSA), having your spouse on the account can have important implications, especially if they are 65 years old or older. Let's dive into the impact and considerations of having your spouse on your HSA when they are 65.

Here are a few key points to consider:

  • If your spouse is 65 or older and enrolled in Medicare, they can no longer contribute to an HSA as they are no longer eligible according to IRS rules.
  • While your spouse can't contribute, you can still contribute to your HSA if you meet the eligibility criteria.
  • If both you and your spouse are 55 or older, you can make catch-up contributions to your HSA, potentially increasing your savings for healthcare expenses in retirement.
  • Having your spouse on the HSA allows both of you to use the funds for eligible medical expenses, providing a financial safety net for your healthcare needs.

Overall, while having a spouse over 65 on your HSA can limit contributions, it can still be beneficial for covering medical expenses for both of you.


Understanding how your spouse's age affects your Health Savings Account (HSA) is crucial for effective retirement planning. If your spouse is 65 or older, it's important to remember that they can no longer contribute to your HSA if they are enrolled in Medicare. However, you might still be able to contribute, keeping those extra funds available for future healthcare expenses.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter