Can I Have an HSA on Medicare? Understanding HSA Eligibility with Medicare

If you are on Medicare, you might be wondering if you can still have a Health Savings Account (HSA). The answer is yes, but with some limitations.

Medicare itself does not offer HSAs, but if you are enrolled in a High Deductible Health Plan (HDHP) that qualifies for an HSA, you can still contribute to and use your HSA funds even while on Medicare.

Here are some important points to consider when it comes to having an HSA on Medicare:

  • Medicare Part A and Part B coverage does not affect your HSA eligibility.
  • You cannot contribute to an HSA if you are enrolled in Medicare Part A and/or Part B, as these are not HDHPs.
  • If you delay enrolling in Medicare and continue working, you can still contribute to an HSA.
  • Once you enroll in any part of Medicare, you can no longer contribute to your HSA, but you can still use the funds for qualified medical expenses.
  • If you're on Medicare but covered by an employer-sponsored HDHP, you can contribute to an HSA.
  • HSA funds can be used to pay for Medicare premiums, deductibles, copayments, and coinsurance.

It's essential to understand the rules and limitations to make the most of your HSA benefits while on Medicare. Consult with a financial advisor or tax professional for personalized advice based on your specific situation.


Many individuals transitioning to Medicare often ask if they can maintain their Health Savings Account (HSA) despite new coverage. The key takeaway is that you can have an HSA while on Medicare, but it comes with specific restrictions.

It's important to note that while Medicare provides health coverage, it does not offer HSAs directly. If you are enrolled in a High Deductible Health Plan (HDHP) before or after reaching Medicare age, you may still make contributions to your HSA, provided certain conditions are met.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter