Can I Use an HSA If I Have Medicare Part A Only?

If you have Medicare Part A only, you can still use an HSA, but with some limitations and considerations. A Health Savings Account (HSA) offers individuals a way to save for medical expenses tax-free. Here's what you need to know:

Medicare Part A covers hospital visits, hospice care, and some home health care services. It is available to most individuals age 65 and older who have worked and paid Medicare taxes for at least 10 years. If you have Medicare Part A, you can still be eligible to contribute to an HSA if:

  • You are not enrolled in any other healthcare coverage besides Medicare Part A
  • You are not claimed as a dependent on someone else's tax return
  • You meet the HSA eligibility requirements

However, having Medicare Part A may limit how much you can contribute to your HSA each year. Since Medicare is considered disqualifying health coverage for HSA contributions, you cannot contribute to your HSA if you are enrolled in any other Medicare parts besides Part A. This means if you have both Medicare Part A and B, you are not eligible to contribute to an HSA.

It's essential to understand the rules and limitations when using an HSA with Medicare Part A only. Be sure to consult a tax advisor or financial planner to help you navigate through the complexities and make informed decisions about your healthcare and retirement planning.


If you only have Medicare Part A, you might be wondering about your options concerning a Health Savings Account (HSA). Despite some restrictions, it is indeed possible to reap the benefits of an HSA. This account allows you to accumulate funds for medical expenses without worrying about taxes. Here are key points you should consider:

  • Medicare Part A provides coverage primarily for inpatient hospital stays, skilled nursing facility care, and hospice services. Most people qualify for this after reaching age 65 and having contributed to Medicare taxes through their work life.
  • If you possess only Medicare Part A and have no other health insurance, you can continue to contribute to your HSA, provided you also meet the eligibility criteria.
  • Note that once you enroll in other forms of Medicare, such as Part B or Part D, your ability to contribute to your HSA is revoked due to Medicare being classified as disqualifying coverage.

Before making any decisions about utilizing an HSA in conjunction with Medicare Part A, it's wise to speak with a tax advisor or a financial planner for tailored advice.

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