Can I Use HSA After 65? Essential Things to Know About Health Savings Accounts

When it comes to Health Savings Accounts (HSAs), one common question that arises is whether you can use an HSA after turning 65. The short answer is yes, but there are certain things you need to know about using an HSA in your retirement years.

First and foremost, it's important to understand that once you turn 65, you can use the funds in your HSA for any reason, not just for qualified medical expenses. However, if you use the funds for non-medical expenses, they will be subject to income tax, similar to a traditional IRA or 401(k) withdrawal.

Here are some key points to consider when using an HSA after 65:

  • After 65, you can use HSA funds for any purpose without penalty, but you will pay income tax on non-medical expenses.
  • You can continue to use your HSA to pay for qualified medical expenses tax-free, including Medicare premiums, long-term care premiums, and other healthcare costs.
  • If you delay enrolling in Medicare and continue to work past 65, you can still contribute to your HSA.
  • Even after enrolling in Medicare, you can use your HSA to pay for qualified medical expenses not covered by Medicare.

Overall, HSAs can be a valuable tool for saving for healthcare costs in retirement. By understanding the rules and benefits of using an HSA after 65, you can make informed decisions about your healthcare and finances as you age.


After turning 65, your Health Savings Account (HSA) becomes even more flexible, allowing you to use your funds for numerous purposes, but remember that while there are no penalties, non-medical withdrawals incur income tax.

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