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Can I Make a HSA Contribution in the Same Year I Am Eligible for Medicare?

Published June 8, 2022

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Short answer: You generally can’t make pre-tax HSA contributions after the month you turn 65 and enroll in Medicare, but you can still use existing HSA funds for qualified medical expenses tax-free.

Medicare enrollment and HSA contribution timing

One common question among individuals nearing Medicare eligibility is whether they can still make contributions to their Health Savings Account (HSA) in the same year they become eligible for Medicare. The answer is that there are certain rules and restrictions that dictate HSA contributions in the year you qualify for Medicare.

According to the rules set by the Internal Revenue Service (IRS), individuals who enroll in Medicare are no longer allowed to contribute to their HSA on a pre-tax basis after the month they turn 65 and enroll in Medicare. This means that if you are eligible for Medicare due to age, you can no longer put money into your HSA on a tax-deductible basis.

You might be wondering, 'Can I still contribute to my HSA if I’m turning 65 this year and will join Medicare?' The answer is nuanced, as the IRS has specific guidelines regarding Health Savings Account contributions after you become eligible for Medicare.

Using existing HSA funds after Medicare

It is important to note that just because you are no longer able to make pre-tax contributions to your HSA after enrolling in Medicare, it doesn't mean that you have to stop using the funds already in your account. You can continue to use the funds in your HSA to pay for qualified medical expenses, tax-free, even after you are enrolled in Medicare.

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