Can I Participate in HSA After Age 65?

As you approach age 65, you may be wondering if you can still participate in a Health Savings Account (HSA). The short answer is yes, you can continue to contribute to an HSA after the age of 65. However, there are some considerations to keep in mind.

Once you enroll in Medicare, you are no longer eligible to contribute to an HSA, but you can still use the funds in your HSA to pay for qualified medical expenses tax-free, including Medicare premiums, copays, and prescription drugs.

It's essential to understand the rules and benefits of an HSA, whether you are approaching age 65 or already over 65. Here are some key points to remember:

  • You can contribute to an HSA until you enroll in Medicare.
  • If you're already 65 or older, you can still use the funds in your HSA for qualified medical expenses tax-free.
  • HSAs offer triple tax benefits - contributions are tax-deductible, earnings grow tax-free, and withdrawals for qualified medical expenses are tax-free.
  • Unused HSA funds roll over from year to year, unlike Flexible Spending Accounts (FSAs).

While you can no longer contribute to an HSA after enrolling in Medicare, the funds you have accumulated in your HSA remain yours to use for qualified medical expenses in retirement. This makes HSAs a valuable tool for saving for healthcare costs in later years.


As you approach age 65, many questions may arise about your Health Savings Account (HSA) participation. The good news is that you can still contribute to an HSA until you enroll in Medicare. After that, while you can't make contributions, your HSA remains a resource for managing healthcare costs.

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