How to manage multiple HSAs for couples

Published Updated 22 Min Read

  • Not be enrolled in any other non-HSA-eligible high-deductible health plan, with limited exceptions, including Medicare and Tricare;
  • Not be claimed as a dependent on someone else’s return;
  • Not be enrolled in a Health care Flexible Spending Account, or FSA, other than a limited-purpose FSA or a post-deductible FSA; and
  • Not be enrolled in a Health Reimbursement Account, or HRA, other than a Limited-Purpose
  • Contributions were made to the younger spouse’s HSA prior to marriage;
  • Contributions were made to the younger spouse’s HSA because the benefits of contributing to the older spouse’s HSA had not previously been made clear;
  • The couple wants to split HSA contributions to keep things “fair”;
  • Each spouse is covered by a self-only HDHP; or
  • The younger spouse is already 55 or older, and thus, must contribute at least the $1,000 catch-up contribution to their own HSA to maximize total family contributions.
Jeffrey Levine
Director of Advanced Planning

Jeffrey Levine, CPA/PFS, CFP, MSA, a Financial Planning contributing writer, is the lead financial planning nerd at Kitces.com, and director of advanced planning for Buckingham Wealth Partners.


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