Can Medicare Participants Have an HSA?

Many people wonder if Medicare participants can have a Health Savings Account (HSA).

The short answer is that while Medicare participants can have an HSA, there are certain restrictions and considerations to be aware of.

Here's what you need to know:

  • Medicare participants are eligible to have an HSA if they meet specific criteria.
  • Individuals must be enrolled in a High Deductible Health Plan (HDHP) to qualify for an HSA.
  • If you are already enrolled in Medicare, you cannot contribute to an HSA, but you can use existing funds in your HSA.
  • Contributions to an HSA must cease once an individual enrolls in Medicare, but funds in the account can still be used for qualified medical expenses tax-free.
  • Medicare Part A and Part D coverage makes an individual ineligible to contribute to an HSA.
  • If you delay enrolling in Medicare and continue working, you can still contribute to your HSA if you meet the eligibility requirements.

It's essential to understand the rules and regulations surrounding HSAs and Medicare to make informed decisions about your healthcare savings.


If you're wondering about the intersection of Medicare and Health Savings Accounts (HSAs), you're not alone!

While it's possible for Medicare participants to have an HSA, there are important guidelines to keep in mind.

Here's a breakdown of what you should consider:

  • Medicare enrollees can maintain an existing HSA if they were eligible before enrollment.
  • To qualify for an HSA, one must be enrolled in a High Deductible Health Plan (HDHP).
  • Upon enrolling in Medicare, new contributions to an HSA must stop; however, previously contributed funds can be utilized for costs associated with healthcare.
  • It's crucial to note that eligibility for HSA contributions is lost if someone is enrolled in Medicare Part A or Part D.
  • If you're still working and have not enrolled in Medicare, you can continue contributing to your HSA as long as you meet the HDHP criteria.

Understanding these aspects is vital for making the most of your healthcare savings while navigating Medicare.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter