Can I Sign Up for Medicare Part A and B Even if I Have HSA?

Many individuals who have a Health Savings Account (HSA) wonder if they can sign up for Medicare Part A and B. The short answer is yes, you can enroll in Medicare Part A and B even if you have an HSA. However, there are some important considerations to keep in mind when making this decision.

Medicare Part A covers hospital stays, skilled nursing care, hospice, and some home health care services. Part B, on the other hand, covers medical services like doctor visits, preventive care, and outpatient care. While having an HSA does not prevent you from signing up for Medicare, it may affect how you can use your HSA funds.

When you enroll in Medicare, you should be aware of the following:

  • If you are already receiving Social Security benefits, you will be automatically enrolled in Medicare Part A and Part B when you turn 65. You can still contribute to your HSA, but you cannot make contributions once you enroll in Medicare.
  • If you decide to delay enrolling in Medicare because you are still working and have employer-sponsored health coverage, you can continue to contribute to your HSA. Once you enroll in Medicare, however, you can no longer contribute to your HSA.
  • If you enroll in Medicare but want to continue using your HSA funds, it is recommended that you stop making contributions six months before you apply for Medicare.
  • After enrolling in Medicare, you can use your HSA funds to pay for qualified medical expenses not covered by Medicare, such as deductibles, copayments, and coinsurance.

Overall, having an HSA does not prevent you from signing up for Medicare Part A and B. It is essential to understand how enrolling in Medicare may impact your HSA contributions and distributions. Consult with a financial advisor or healthcare professional to make informed decisions about your health coverage.


It’s quite common for those with a Health Savings Account (HSA) to have questions about enrolling in Medicare Part A and B. The good news is that you can absolutely sign up for both Medicare Part A and B even if you are currently managing an HSA. Just remember, there are a few key points to consider that will help you navigate this situation.

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