Are You Penalized for Being in a HSA if Only in Part a Medicare?

Many individuals are unsure about the implications of having a Health Savings Account (HSA) while being on Medicare, especially if they are only in Medicare Part A. It's important to understand how having an HSA can affect your Medicare coverage to avoid any penalties or issues.

Firstly, if you are enrolled only in Medicare Part A and have an HSA, you can continue contributing to it. However, you need to stop making contributions once you enroll in Medicare Part B, as it provides coverage for outpatient services and can affect your HSA eligibility.

Being in a Medicare HSA comes with certain restrictions and considerations:

  • If you use HSA funds for non-qualified medical expenses while on Medicare, you might incur taxes on the withdrawn amount. It's essential to use HSA funds only for eligible healthcare expenses to avoid penalties.
  • Once you are enrolled in Medicare, you cannot contribute to your HSA, and if you do, you may face tax penalties. However, you can still use the existing funds in your HSA for qualified medical expenses.

In conclusion, being in an HSA while on Medicare, even if only in Part A, requires careful consideration and adherence to IRS regulations to avoid penalties and tax implications.


If you find yourself enrolled in only Medicare Part A and holding a Health Savings Account (HSA), it's crucial to know that you can still contribute to your HSA. However, this ability to contribute stops as soon as you enroll in Medicare Part B, which covers a broader range of medical services.

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