Can I Open an HSA If I Am on Medicare? Understanding HSA Eligibility

If you are on Medicare, you cannot contribute to a Health Savings Account (HSA). However, if you were already enrolled in an HSA before you started Medicare, you can still use the funds in the account for qualified medical expenses.

Medicare is a federal health insurance program primarily for individuals aged 65 and older. It consists of different parts, including Part A (hospital insurance), Part B (medical insurance), Part C (Medicare Advantage), and Part D (prescription drug coverage).

Here are some key points to keep in mind regarding HSAs and Medicare:

  • If you are on Medicare, you are not allowed to open a new HSA or contribute to an existing one.
  • If you have an HSA before enrolling in Medicare, you can continue to use the funds for qualified medical expenses tax-free.
  • Once you enroll in Medicare, you are no longer eligible for HSA contributions, including both your own contributions and any contributions made by your employer.
  • Medicare Part A and Part B coverage makes you ineligible to contribute to an HSA. However, if you have only Part A or Part B and meet other HSA eligibility criteria, you may still be able to contribute to an HSA.
  • After turning 65 and enrolling in Medicare, you can use the existing HSA funds for qualified medical expenses, including Medicare deductibles, copayments, and coinsurance.

It's important to understand the rules governing HSAs and Medicare to make informed decisions about your healthcare planning.


Many people wonder, 'Can I open an HSA if I'm on Medicare?' The answer is no; if you are enrolled in Medicare, you cannot contribute to a Health Savings Account (HSA). However, there’s good news! If you had an HSA prior to enrolling in Medicare, you can still utilize the funds for qualified medical expenses without worrying about taxes.

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