Can I Have an HSA and Medicare Part A?

If you are wondering whether you can have both an HSA (Health Savings Account) and Medicare Part A, the answer is yes, but with certain considerations. Here's what you need to know:

Having an HSA and Medicare Part A is permissible, but there are some conditions to keep in mind:

  • Enrollment in Medicare Part A makes you ineligible to contribute to an HSA.
  • If you are already contributing to an HSA and then enroll in Medicare Part A, you must stop contributing to the HSA.
  • You can still use the funds already in your HSA for qualified medical expenses even after enrolling in Medicare Part A.
  • Once you enroll in Medicare, you can no longer open a new HSA account, but you can continue to use the existing funds for medical expenses.

While you cannot contribute to an HSA if you have Medicare Part A, having both can still provide benefits. Medicare may cover many healthcare costs, but having an HSA can help you save for future medical expenses and provide a tax advantage.


Yes, you can absolutely have both an HSA (Health Savings Account) and Medicare Part A, but there are a few important details to keep in mind.

When you enroll in Medicare Part A, you become ineligible to make any new contributions to your HSA. This means that if you've been actively saving money in your HSA, you'll need to stop contributing once that enrollment takes effect.

However, don’t worry! You can still freely use the funds that are already in your HSA for qualified medical expenses, even after you've signed up for Medicare Part A. Additionally, remember that enrolling in Medicare prevents you from opening a new HSA account, but your existing balance can be a valuable resource for healthcare costs.

Maintaining an HSA alongside Medicare can be beneficial, as it allows you to save for future medical expenses while taking advantage of various tax benefits that HSA accounts offer.

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