Can I Keep My HSA if I Have Medicare? Everything You Need to Know

Are you wondering whether you can keep your HSA if you have Medicare? The short answer is yes, you can still keep your Health Savings Account (HSA) even if you have Medicare. However, there are certain rules and regulations you need to be aware of to make informed decisions about your HSA and Medicare coverage.

When you qualify for Medicare, you are still allowed to have and contribute to an HSA if you meet certain criteria:

  • You are enrolled in a High Deductible Health Plan (HDHP) that is compatible with HSAs.
  • You are not enrolled in any other non-HDHP health coverage.
  • You are not receiving benefits from Medicare Part A, Part B, or Part D.

If you meet these criteria, you can continue to use your HSA to cover qualified medical expenses tax-free. Keep in mind that once you enroll in Medicare, you are no longer allowed to contribute to your HSA. However, you can still use the funds that are already in your account for eligible expenses.

It's essential to understand the rules and restrictions surrounding HSAs and Medicare to avoid any penalties or tax implications. Consulting with a financial advisor or tax professional can help you navigate these complexities and make the most of your HSA benefits while on Medicare.


Many people wonder if having Medicare affects their Health Savings Account (HSA). The great news is that you can absolutely keep your HSA while on Medicare! Just be aware of a few guidelines that can help you manage your HSA effectively.

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