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Yes, in 2018 we had a high-deductible ($6,500 per individual) health plan.  My spouse does not have an HSA.  I contributed $3,050 ($1,450 of that was after September, when I was covered under Medicare).  Gross distribution for 2018 was $3,042.  The current balance in my HSA is $314.  My spouse is in her early 40s.