Can a Retiree Get an HSA Account? A Comprehensive Guide

One common question that retirees often ask is whether they can still have an HSA account. The answer is yes, retirees can have an HSA account as long as they meet certain criteria. An HSA, or Health Savings Account, is a tax-advantaged savings account that allows individuals to save money for qualified medical expenses. It offers a triple tax advantage - contributions are tax-deductible, earnings are tax-free, and withdrawals for qualified medical expenses are tax-free.

Retirees who meet the following criteria can have an HSA account:

  • Must be enrolled in a high-deductible health plan (HDHP)
  • Cannot be enrolled in Medicare
  • Can use HSA funds to pay for qualified medical expenses, including premiums for certain long-term care insurance
  • Once enrolled in Medicare, they can no longer contribute to an HSA, but they can still use the existing funds for medical expenses

Having an HSA account during retirement can be beneficial as it can help cover medical expenses, including premiums for certain types of insurance. It can also serve as a tax-efficient way to save for healthcare costs in retirement.


Yes, retirees can absolutely open and maintain an HSA account, provided they meet specific eligibility requirements. This tax-advantaged account not only allows for savings towards qualified medical expenses but also provides an incredible triple tax advantage, where contributions lower your taxable income, earnings grow tax-free, and withdrawals for eligible healthcare costs do not incur taxes.

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