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Can I Have an HSA for My Family if I Am on Medicare?

Published June 2, 2022

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Short answer: If you are on Medicare, you cannot contribute to an HSA, but if your spouse is not on Medicare and has an HDHP covering you, they can contribute in their name.

Medicare enrollment prevents HSA contributions

If you are on Medicare, you are not eligible to contribute to a Health Savings Account (HSA). However, if your spouse is not on Medicare and has a qualifying High Deductible Health Plan (HDHP) that covers both of you as a family, you can still contribute to an HSA in their name. This can be a beneficial way to save for healthcare expenses for your family.

Being on Medicare may lead you to wonder about your eligibility for a Health Savings Account (HSA), and while you cannot make contributions to an HSA once enrolled in Medicare, you still have options. If your spouse is covered under a High Deductible Health Plan (HDHP) and is not on Medicare, they can contribute on behalf of your family. This is a great opportunity to build a financial cushion for future medical expenses together.

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