What if both spouses have HSA?

Asked by: Creola Bednar  |  Last update: October 24, 2023
Score: 4.4/5 (64 votes)

The IRS treats married couples as a single tax unit, which means you must share one family HSA contribution limit of $7,300, or $7,750 in 2023. If you and your spouse have self-only coverage, you may each contribute up to $3,650, or $3,850 in 2023, annually into your separate accounts.

Can married couple have 2 HSA accounts?

HSAs cannot be jointly owned

But they also have the option for each spouse to establish their own HSA, and split up the family maximum contribution how they prefer. The IRS notes that the default is to split the contribution limit equally between the two spouses, "unless you agree on a different division."

Can a husband and wife have a joint HSA account?

The IRS specifies that HSAs must be individual accounts. Therefore, spouses cannot have a joint HSA. Each spouse who is an eligible individual who wants an HSA must open a separate HSA.

Can my wife use my HSA if she's not on my insurance?

The IRS allows you to use your HSA to pay for eligible expenses for your spouse, children or anyone who is listed as a dependent on your tax return. That's true whether you have individual coverage or family coverage with an HSA through your health plan.

Can I use my HSA for my wife's pregnancy?

You can use it on anyone in your tax family.

You can use your HSA to cover your or your spouse's delivery costs, as well as future expenses of the child. HSA funds can be used on anyone within your tax family. This stays true even if the account holder does not cover a dependent under his or her health plan.

Can an Employee Contribute to an HSA if Their Spouse Has an FSA?

34 related questions found

Can I use my HSA for my spouse if they are not a dependent?

The IRS allows you to use your HSA to pay for eligible expenses for your spouse, children or anyone who is listed as a dependent on your tax return. That's true whether you have individual coverage or family coverage with an HSA through your health plan.

Can I use my husband's HSA to pay my medical bills?

And the answer is yes if you are a spouse (even if filing a separate return) or a dependent (claimed) on a tax return. So that couple could use the HSA of one spouse to pay for the medical expenses of the other.

Can I use my HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Can I use HSA for family not on my insurance?

Can my HSA be Used for Dependents Not Covered by my Health Insurance Plan? Yes. Qualified medical expenses include unreimbursed medical expenses of the accountholder, his or her spouse, or dependents.

Can I use my HSA for my dog?

HSA funds can't be used to pay for a normal pet's veterinary care, prescriptions, or other medical expenses. However, HSAs can be used to pay for healthcare costs for service animals, because those expenses are related to people's disabilities.

What are the catch-up rules for HSA?

When you reach age 55 and are eligible to have an HSA, you can contribute an additional $1,000 each year through age 65 or until you enroll in Medicare. This is called a catch-up contribution.

Can I transfer my HSA to my spouse's HSA?

No. You cannot rollover or transfer an account balance to another person's HSA. This would result in a taxable distribution (i.e., a distribution that was not used for a qualified medical expense). Rollovers and transfers are only tax free to the extent they go from your existing HSA to another HSA set up in your name.

Can I use my HSA for my child?

You can make tax-free withdrawals from your HSA to cover qualified medical expenses of a child, regardless of whether a child is covered by your HDHP. The one rule is that you can't use your HSA for qualified expenses that have already been reimbursed by the insurance policy covering your child.

What happens to excess HSA contributions?

5. What happens if I contribute more than the IRS annual maximum? If your HSA contains excess or ineligible contributions you will generally owe the IRS a 6% excess-contribution penalty tax for each year that the excess contribution remains in your HSA. It is recommended you speak with a tax advisor for guidance.

Do employer contributions affect HSA limit?

Don't forget that your employer's contributions count toward your total contribution limit. If you have single coverage and your employer adds $1,000 into your HSA, then you can only add up to the remaining $2,850.

Can I use HSA money to pay off old medical bills?

Can I use my tax-free HSA savings to pay for — or reimburse myself for — IRS-qualified medical expenses from a previous year? Yes, as long as the IRS-qualified medical expenses were incurred after your HSA was established, you can pay them or reimburse yourself with HSA funds at any time.

Who Cannot contribute to HSA?

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 anyone in my household use my HSA?

Based on these rules, however, only family members who are classified as your spouse, or as dependents that you claimed on your most recent tax return, or that you could have claimed on your tax return, would be eligible for coverage under your HSA.

Can you use HSA to pay for Botox?

Botox: HSA Eligibility

Botox injections are not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA) health reimbursement arrangement (HRA), dependent care flexible spending account (DCFSA) or a limited-purpose flexible spending account (LPFSA).

Can you use HSA for teeth whitening?

What Dental Services are Not Covered by My HSA? Cosmetic procedures, like teeth whitening, are not covered by your HSA funds. Neither are dental products like dental floss, toothbrushes, toothpaste, or mouthwash. Those products are out of pocket expenses.

Can I buy vitamins with HSA?

With this IRS definition in mind, while daily multivitamins are not FSA/HSA eligible, there are some types of vitamins that are eligible with consumer-directed healthcare accounts and others that may be eligible with proper documentation from a physician.

Can my wife and I use the same HSA account?

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 my boyfriend use his HSA card on me?

You can't use your HSA for your domestic partner's health care, but that doesn't mean you can't plan for a healthy financial future. The key to any couple's long-term financial success is communicating early and often.

Can I use my HSA for Lasik?

In a word – yes! With a tax-free Health Savings Account (HSA) or Flexible Spending Account (FSA), you can pay for your LASIK surgery with pre-tax dollars, which could mean a 20-30% discount for those who are eligible.

What happens to an HSA when you divorce?

Even though an HSA is an individual account and cannot be jointly shared with spouses, account balances are often considered at the time of a divorce. Depending on the details of a court judgment, one person's HSA funds may be divided between the spouses or given in part or full to the former spouse.