How Does HSA Work with Spouse?

Health Savings Accounts (HSAs) are a valuable tool that can be utilized by individuals and their spouses to save money for medical expenses. An HSA works similarly for spouses as it does for individuals, allowing both partners to contribute to the account and use the funds for qualified medical expenses.

Here's how an HSA works with a spouse:

  1. Eligibility: Both you and your spouse must be covered under a High Deductible Health Plan (HDHP) to qualify for an HSA.
  2. Contribution Limits: The contribution limit for a married couple is higher than for an individual, allowing you to save more money for medical expenses.
  3. Contribution Sources: Contributions can be made by either spouse, or both, and the total of their contributions cannot exceed the annual limit set by the IRS.
  4. Withdrawals: Both you and your spouse can use the funds in the HSA to pay for qualified medical expenses, offering flexibility in covering healthcare costs.
  5. Portability: In case of a job change or other life events, the HSA can be transferred between spouses without any tax consequences.

Overall, having an HSA with your spouse can help you both save for medical expenses tax-free and secure your financial health in times of need.


Health Savings Accounts (HSAs) present a fantastic opportunity for married couples to unite their financial resources towards healthcare costs. Both partners must be enrolled in a High Deductible Health Plan (HDHP), ensuring eligibility to maximize their HSA benefits.

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