Are HSA Taxable After Age 65? All You Need to Know

As you plan for retirement, you may be wondering about the taxation of your HSA after age 65. Health Savings Accounts (HSAs) offer a tax-advantaged way to save for medical expenses, but how does that change once you reach the age of 65?

HSAs remain a valuable financial tool after the age of 65, providing flexibility and continued tax benefits. Here's what you need to know:

1. Tax Treatment at Age 65

When you turn 65, you can start using your HSA funds for non-medical expenses without penalty. The withdrawals are taxed as ordinary income, similar to a traditional IRA or 401(k).

2. Medicare Enrollment

Once you enroll in Medicare, you can no longer contribute to your HSA. However, you can still use the funds tax-free for qualified medical expenses.

3. Taxation When Used for Non-Medical Expenses

If you use your HSA funds for non-medical expenses after age 65, they are subject to income tax but not the additional 20% penalty.

4. Estate Planning Benefits

Upon your passing, your HSA funds can be transferred to your spouse tax-free. If the funds go to a non-spouse beneficiary, they become taxable as income in that year.

In conclusion, HSAs continue to be a tax-efficient tool for healthcare savings in retirement and offer benefits even after age 65.


As you approach your golden years, understanding the tax implications of your Health Savings Account (HSA) after turning 65 becomes crucial. HSAs are not just a savings tool for the younger generations; they offer tremendous flexibility and tax advantages even for retirees.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter