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Can I Contribute to an HSA in the Year I Turn 65?

Published May 6, 2022

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Short answer: You can contribute to an HSA in the year you turn 65 as long as you are not enrolled in Medicare; once you enroll, you cannot contribute, but existing HSA funds can be used for qualified medical expenses.

HSA contributions around turning 65

As you approach the age of 65, you may be wondering about your eligibility to contribute to a Health Savings Account (HSA). The rules around HSAs can be a bit complex, so it's important to understand how they apply to individuals who are 65 or older.

According to IRS guidelines, you can contribute to an HSA in the year you turn 65 as long as you are not enrolled in Medicare. Once you enroll in Medicare, which typically happens at 65, you can no longer make contributions to your HSA. However, if you delay enrolling in Medicare and continue with your HSA-qualified high-deductible health plan, you can keep contributing to your HSA.

Planning Medicare enrollment and HSA impact

It's essential to plan ahead and understand how your healthcare coverage will change once you turn 65. Here are some key points to keep in mind:

  • If you are still working and covered by an HSA-qualified high-deductible health plan, you can continue to contribute to your HSA even after turning 65.
  • Once you enroll in Medicare, you are no longer eligible to contribute to an HSA, but you can still use the funds in your existing HSA for qualified medical expenses.
  • If you delay enrolling in Medicare and continue to work past the age of 65, you can defer enrolling in Medicare Part A and Part B without facing penalties.

IRS guidance repeated for 65 and above

As you near the age of 65, you might be curious about your ability to contribute to a Health Savings Account (HSA). The regulations surrounding HSAs can be a bit intricate, so it’s crucial to clarify how they affect those who are 65 years old or older.

Under IRS guidelines, you can contribute to your HSA during the year you turn 65, provided that you are not yet enrolled in Medicare. Typically, enrollment in Medicare occurs at age 65, which marks the end of your contributions to your HSA. However, if you choose to delay your Medicare enrollment while maintaining your HSA-qualified high-deductible health plan, you can continue contributing to your HSA.

Work after 65 and Medicare deferral rules

Planning ahead is critical to understanding how your health coverage may be impacted once you reach 65. Here are some important details to remember:

  • If you are still employed and covered by an HSA-compatible high-deductible health plan, you can keep contributing to your HSA even after your 65th birthday.
  • Once you sign up for Medicare, while you cannot make further contributions to your HSA, the funds already present in your account can still be used for qualified medical expenses.
  • If you decide to postpone your Medicare enrollment and continue to work beyond age 65, you can defer signing up for Medicare Part A and Part B without penalties.

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