Can a married couple have two HSA plans?

Asked by: Cheyenne Douglas  |  Last update: January 10, 2026
Score: 5/5 (22 votes)

Each spouse who wants to contribute to an HSA must open a separate HSA. Dollars cannot be transferred between the HSAs. However, one spouse may use withdrawals from their HSA to pay or reimburse the eligible medical expenses of the other spouse, without penalty. Both HSAs may not reimburse the same expenses.

Can a married couple have two different HSA accounts?

HSAs cannot be jointly owned

The IRS notes that the default is to split the contribution limit equally between the two spouses, "unless you agree on a different division." In this case, each spouse would have their own HSA, but the funds in each HSA could be used for any eligible family members.

What is the tax loophole for HSA?

HSA Tax Advantages

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

Can you and your spouse have separate HSA?

No, the FHSA is an individual savings plan only. However, if you buy your property with your spouse, you can combine both of your FHSA accounts. The lifetime contribution limit of $40,000 applies to everyone.

Can I use my HSA for my spouse if she has her own insurance?

There is no restriction on how you use the HSA funds for spouse or dependent expenses. If you have individual plan or family plan, you can still use your HSA for paying those people's medical expenses. (Whether or not they were covered by your health plan.)

HSA Hack for Married Couples Age 55+

29 related questions found

How does HSA work for married couples?

As it stands, two spouses may not both contribute to a single HSA via payroll deduction. Both spouses may contribute to their individual accounts via payroll deduction and then use funds from either HSA to pay for each other's medical expenses.

Can I use my HSA for gym membership?

Generally, the IRS doesn't allow pretax dollars in HSAs or FSAs for gym memberships. This is because they see them as expenses for general well-being rather than medical necessity. However, with a Letter of Medical Necessity (LMN), your HSA or FSA could be used to fund those expenses.

Can you transfer HSA from one spouse to another?

The IRA and HSA in question must be owned by the same individual (funds are non-transferable to a spouse or partner). Funds can be transferred from a Traditional or Roth IRA without further restrictions. Funds can be transferred from an SEP or Simple IRA as long as the IRA is no longer considered “ongoing” by the IRS.

Can you have multiple FHSA?

You can open one or more than one FHSA through an FHSA issuer, such as a bank, credit union, or a trust or insurance company. Your issuer will advise you on the types of FHSAs and the qualified investments they offer.

Can someone other than you or your spouse contribute to your HSA?

An HSA may receive contributions from an eligible individual or any other person, including an employer or a family member, on behalf of an eligible individual. Contributions, other than employer contributions, are deductible on the eligible individual's return whether or not the individual itemizes deductions.

What is the downside of an HSA?

Drawbacks of HSAs include tax penalties for nonmedical expenses before age 65, and contributions made to the HSA within six months of applying for Social Security benefits may be subject to penalties. HSAs have fewer limitations and more tax advantages than flexible spending accounts (FSAs).

Does the IRS check your HSA?

Does HSA spending trigger an audit? The IRS doesn't monitor how you spend your HSA funds throughout the year, but that doesn't mean they won't ask for proof that your expenses were eligible. And if your tax return contains unrelated IRS audit red flags, your risk for an HSA audit could increase.

Can I use HSA for dental?

Your HSA also covers expenses for standard dental cleanings and dental check-ups. One thing to keep in mind is that some of these procedures may have a co-payment, so it's important that you check with your dental insurance provider to find out exactly what you'll have to pay out of pocket.

Can I have two high deductible health plans?

[You can be covered under two HDHPs, though. If your employer and your spouse's employer both offer HDHPs, you can opt for double coverage and still contribute to your HSA.]

Can I use my HSA for my dog?

The short answer is yes, you can use your HSA for veterinary expenses. Under current IRS guidelines, eligible medical expenses include those that are primarily for the prevention or alleviation of a physical or mental defect or illness.

Can I use my HSA to pay for my girlfriend?

The only time you can use your HSA to pay for the healthcare costs of a friend is if you have named that person as a dependent on your most recent tax return (provided that they qualify under the non-relative qualifications — detailed below).

What happens to FHSA after 15 years?

Once you open a FHSA, you can use it for up to 15 years. After that time, it must be closed. If you don't buy a home, any unused savings in your FHSA may be transferred to an RRSP. It can also be withdrawn as taxable income.

What is the 90 day rule for FHSA?

Minimum holding period: There's no minimum period of time that money must be held in an FHSA before contributions can be withdrawn. In the case of the HBP, funds must be deposited for a minimum of 90 days before they can be withdrawn.

Can a married couple have two separate HSA accounts?

If you and your spouse each have HSA-qualified health coverage, and you both plan on contributing to your HSAs, you must have separate accounts. This is true even if you're both covered by the same high-deductible health plan. Additionally, whether you have a single or family plan affects the limits for HSAs.

What happens to unused HSA funds?

Unlike many flexible spending accounts (FSAs) and health reimbursement arrangements (HRAs), unused HSA funds automatically carry over to the following year. Even if your employer provided the account and made contributions, the account belongs to you — so any remaining funds are carried over every year.

What is the maximum HSA contribution for married couples in 2024?

Additional $1,000 for both 2024 and 2025. Married couples with HSA-eligible family coverage will share one family HSA contribution limit of $8,300 in 2024 and $8,550 in 2025. If both spouses have eligible self-only coverage, each spouse may contribute up to $4,150 in 2024 and up to $4,300 in 2025 in separate accounts.

Is an Apple Watch HSA eligible?

Even though Fitbits and Apple Watches measure important health data, they currently do not qualify for HSA reimbursement, as they are considered for general health use and not intended to treat or manage a specific medical condition.

Is deep cleaning for teeth HSA eligible?

Teeth cleaning is considered a preventative service, which is covered by HSAs and medical FSAs. Using your HSA or FSA to pay for teeth cleaning can be a smart way to maximize your healthcare dollars while taking care of your oral health.

Can you pay for Peloton with HSA?

The partnership will make it easier for qualified US-based Peloton customers to use pre-tax Health Savings Account (HSA)/Flexible Spending Account (FSA) dollars to purchase applicable Peloton products, saving customers up to 40% off their purchase.