Can I Start an HSA When on Medicare? A Guide to Health Savings Accounts

If you’re wondering whether you can start an HSA when on Medicare, you’re not alone. Health Savings Accounts (HSAs) are a valuable tool for saving money on medical expenses, but there are some rules and guidelines to keep in mind when it comes to pairing an HSA with Medicare.

Medicare is a federal health insurance program primarily for people aged 65 or older, as well as for some younger individuals with specific disabilities. HSAs, on the other hand, are tax-advantaged accounts that can be used to save for qualified medical expenses.

Here are a few important things to consider when it comes to starting an HSA while on Medicare:

  • Eligibility: In order to contribute to an HSA, you must be enrolled in a high-deductible health plan (HDHP). While you can have an HDHP and be on Medicare at the same time, you cannot contribute to an HSA once you enroll in Medicare.
  • Previous Contributions: If you’ve already been contributing to an HSA before enrolling in Medicare, you can still use the funds for qualified medical expenses tax-free, but you cannot make new contributions to the account.
  • Spousal Coverage: If you have a spouse who is still eligible to contribute to an HSA, they may continue to do so even if you are on Medicare.

In summary, while you can’t start a new HSA once you’re on Medicare, you can still use an existing HSA to pay for medical expenses tax-free. It’s essential to understand the rules and limitations surrounding HSAs and Medicare to make the most of your healthcare savings.


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