Can I Have Medicare Parts A and B and HSA Coverage?

If you are wondering whether you can have Medicare Parts A and B along with HSA coverage, the answer is yes! While Medicare and HSA are two separate benefits, they can work together to provide you with more comprehensive healthcare options.

Medicare Parts A and B cover hospital stays, medical expenses, and doctor visits, while an HSA (Health Savings Account) is a tax-advantaged account that allows you to save money for medical expenses.

Here are some key points to consider:

  • You can have Medicare Parts A and B and contribute to an HSA if you meet specific eligibility criteria.
  • To contribute to an HSA, you must be enrolled only in Medicare Part A and/or Part B and not have any other health coverage that is not HSA-qualified.
  • You cannot contribute to an HSA if you are enrolled in Medicare Part C (Medicare Advantage) or Part D (prescription drug coverage).
  • If you are still working and have a high-deductible health plan (HDHP) that is HSA-qualified, you can contribute to an HSA even if you are enrolled in Medicare Part A and/or Part B.
  • Having an HSA can help you pay for out-of-pocket costs like deductibles, copayments, and coinsurance that Medicare does not cover.
  • Contributions to an HSA are tax-deductible, grow tax-free, and can be withdrawn tax-free for qualified medical expenses.

In summary, it is possible to have Medicare Parts A and B along with HSA coverage, but it is essential to understand the rules and eligibility criteria to maximize the benefits of both.


If you are currently enrolled in Medicare Parts A and B, it is indeed possible to also maintain a Health Savings Account (HSA). Many people may not realize that these two can complement each other effectively to enhance your healthcare experience.

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