Can I Have an HSA Debit Account If I Get Medicare?

If you have Medicare, you may be wondering if you can have a Health Savings Account (HSA) debit account. The answer to this question is a bit complex but entirely possible. Here's everything you need to know.

An HSA is a tax-advantaged savings account that individuals with high-deductible health plans can use to pay for qualified medical expenses.

When you turn 65 and become eligible for Medicare, you can still keep your HSA account, but there are some limitations:

  • You can no longer contribute to your HSA once you enroll in Medicare.
  • You can still use the funds in your HSA to cover eligible medical expenses tax-free.
  • You can use your HSA debit card to pay for qualified expenses even after enrolling in Medicare.

It's important to note that if you withdraw HSA funds for non-qualified expenses after enrolling in Medicare, you will incur a 20% penalty on the withdrawn amount as well as income tax on the funds.

While you can't contribute to your HSA after enrolling in Medicare, the funds already in your account are still yours to use for medical expenses. Keeping an HSA debit account can be beneficial for covering out-of-pocket healthcare costs even after you transition to Medicare.


If you're over 65 and enrolled in Medicare, you may be asking yourself if you can maintain an HSA debit account. The good news is that you can! However, there are some rules to keep in mind when using your HSA funds.

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