Can I Contribute to Employer HSA If I'm on Medicare as Secondary?

When it comes to contributing to a Health Savings Account (HSA) while being on Medicare as a secondary insurance, the rules can be a bit tricky. Let's break it down to understand the nuances.

Generally, if you are enrolled in Medicare as a secondary insurance, you are not eligible to contribute to an HSA. This is because Medicare is considered disqualifying health coverage for HSA purposes.

However, there are a few exceptions to this rule:

  • If you are on Medicare as a secondary insurance but your primary insurance is a high-deductible health plan (HDHP) that is HSA-qualified, you can still contribute to an HSA.

It's important to note that HSA contributions can only be made if you are not enrolled in any other disqualifying health coverage, such as Medicaid or Tricare.

If you find yourself in a situation where you are on Medicare as a secondary insurance and would like to contribute to an HSA, it's advisable to consult with a tax advisor or financial planner to understand your options.


When considering your options for Health Savings Account (HSA) contributions while on Medicare as secondary insurance, it's essential to navigate the complex rules that apply. In most cases, enrolling in Medicare as a secondary insurance unfortunately disqualifies you from making HSA contributions because Medicare is deemed to be disqualifying health coverage.

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