Can a Medicare Participant Have a Health Savings Account (HSA)?

One common question among individuals enrolled in Medicare is whether they can have a Health Savings Account (HSA). The short answer is yes, but with certain restrictions and considerations.

Medicare participants who meet specific criteria can indeed have an HSA alongside their Medicare coverage. Here are some essential points to consider:

  • Medicare participants must be enrolled in a High Deductible Health Plan (HDHP) to be eligible for an HSA.
  • Medicare beneficiaries who are also covered by any other non-HDHP health plan are not eligible for an HSA.
  • Contributions to an HSA cannot be made once an individual enrolls in Medicare Part A or Part B, which is usually at age 65.
  • However, if someone delays their Medicare enrollment past age 65, they can continue contributing to their HSA as long as they are not receiving any Social Security benefits.
  • Medicare participants can use funds from their HSA to pay for qualified medical expenses, including deductibles, copayments, and certain premiums.

Having an HSA as a Medicare participant can provide additional financial flexibility and help cover healthcare costs not included in their Medicare plan.


If you're enrolled in Medicare and wondering about the possibility of having a Health Savings Account (HSA), you're not alone. Many Medicare participants seek clarity on this topic. The answer is affirmative; however, certain guidelines must be adhered to.

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