Can a Working Spouse Over 65 Contribute to an HSA for Disabled Spouse on Medicare?

When it comes to health savings accounts (HSAs), many individuals have questions about contribution rules and eligibility. One common query is whether a working spouse over 65 can contribute to an HSA for a disabled spouse on Medicare. The answer to this question lies in understanding the specific guidelines set forth by the Internal Revenue Service (IRS) and the rules governing HSAs.

Firstly, it is important to note that individuals over the age of 65 are no longer eligible to contribute to an HSA once they enroll in Medicare. This means that if the working spouse is over 65 and enrolled in Medicare, they cannot make contributions to their own HSA. However, this does not necessarily preclude them from contributing to an HSA on behalf of their disabled spouse.

According to the IRS, if the disabled spouse is also covered by a high-deductible health insurance plan and not enrolled in Medicare, they can have an HSA in their name. In this scenario, the working spouse over 65 can contribute to their disabled spouse's HSA as a family contribution. The total contributions to the HSA cannot exceed the annual limit set by the IRS.

It is essential to ensure that both spouses meet the eligibility criteria for an HSA, including being covered by a qualifying high-deductible health plan and not being enrolled in Medicare. Additionally, contributions made by the working spouse must be within the permissible limits to avoid any tax implications.


Many people find themselves confused when it comes to the contribution rules of health savings accounts (HSAs), especially when it involves spouses in different circumstances. A working spouse over the age of 65 might wonder if they can contribute to an HSA for a disabled spouse who is on Medicare. The answer is rooted in the complex guidelines set by the IRS.

For starters, it’s crucial to note that once an individual enrolls in Medicare, they lose the ability to contribute to their own HSA. So if the working spouse is over 65 and has enrolled in Medicare, they won't be able to contribute to their own HSA anymore. However, they still have the option to contribute to their disabled spouse’s HSA if the spouse meets specific eligibility criteria.

The IRS provides clarity in this scenario: If the disabled spouse is covered under a high-deductible health plan and does not enroll in Medicare, they can still establish their own HSA. This means the working spouse over 65 can make contributions to this HSA as a family limit contribution, provided they adhere to the maximum contribution limits mandated by the IRS.

It’s vital for both partners to qualify for an HSA. This involves ensuring they have high-deductible health plan coverage and that neither of them is enrolled in Medicare at the time contributions are made. Failure to stay within the contribution limits can lead to tax penalties, making it essential to keep good records.

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