Can you and your spouse have separate HSA?

Asked by: Aisha Renner  |  Last update: June 9, 2025
Score: 4.9/5 (72 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 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.

Can I use my HSA for my spouse if we file separately?

Yes, as long as you use the funds to pay for qualified medical expenses, you can pay for any family member who is a tax dependent on your tax return.

Can you 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.]

What disqualifies you from having an HSA?

If you can receive benefits before that deductible is met, you aren't an eligible individual. Other employee health plans. An employee covered by an HDHP and a health FSA or an HRA that pays or reimburses qualified medical expenses can't generally make contributions to an HSA.

Can I Use My HSA For My Spouse?

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Can one spouse have an HSA and the other an FSA?

You cannot have an HSA account if your spouse has a general purpose health care FSA through his/her employer under which money can be reimbursed for your eligible health care expenses.

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).

Can I contribute to an HSA if my insurance is through my spouse?

As long as your spouse's non-HDHP does not cover you, you remain an eligible individual and can participate in an HSA. If your spouse had a family non-HDHP and you were not exempted from that coverage then you would not be an eligible individual and would not be able to participate in an HSA.

What is the 12 month rule for HSA?

It means you must remain eligible for the HSA until December 31 of the following year. The only exceptions are death or disability. If you violate the testing period requirement, your ineligible contributions become taxable income.

Who should avoid a high-deductible health plan?

While these types of plans can be beneficial to those who are relatively healthy, they can be very expensive for those who have chronic conditions or who experience a medical crisis. It's important to carefully consider your expected medical expenses before choosing to participate in a high deductible health care plan.

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.

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.

Can HSA be used for dental?

Yes, you can use a health savings account (HSA) or flexible spending account (FSA) for dental expenses.

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.

What is the age limit for HSA catch up?

Eligible individuals who are 55 or older by the end of the tax year can increase their contribution limit up to $1,000 a year. This extra amount is the catch-up contribution allowed for HSAs.

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 is the maximum HSA contribution for a married couple filing separately?

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.

When should I stop putting money in my HSA?

If you don't use it for qualified medical expenses, it counts as income when you file your taxes. Six months before you retire or get Medicare benefits, you must stop contributing to your HSA. But, you can use money left in your HSA to help pay for qualified medical expenses that Medicare doesn't cover.

Do I have to report HSA on taxes?

Form 8889 must be filed with your annual Form 1040 federal tax filing if you make contributions to or take distributions from an HSA. You must file IRS Form 1040 for your HSA contributions, not the short Form 1040A or 1040EZ.

Can you have two HSA accounts at the same time?

This is a very common question from our customers, so let's lead with the short answer: Yes, you can have more than one health savings account (HSA).

Can a married couple have an FSA and HSA?

According to IRS rules, a healthcare FSA is considered an additional medical plan. As a result, to remain HSA-qualified and contribute to the account, you or your spouse cannot have a general-purpose FSA.

What is the family HSA limit for 2024?

For 2024, if you have self-only HDHP coverage, you can contribute up to $4,150. If you have family HDHP cover- age, you can contribute up to $8,300.

Is HSA better than 401k?

Comparing HSAs and 401(k)s

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).

Is it better to have an HSA or copay?

If you don't have an HDHP, have a family, and require frequent diagnostic medical care, a copay plan may be a better option. Neither an HSA or copay plan is better than the other; you just need to decide which plan meets all of your needs and will benefit you the most.

Do I ever lose my HSA money?

Myth #2: If I don't spend all my funds this year, I lose it. Reality: HSA funds never expire. When it comes to the HSA, there's no use-it-or-lose-it rule. Unlike Flexible Spending Account (FSA) funds, you keep your HSA dollars forever, even if you change employers, health plans, or retire.