Can Seniors on Medicare Set-Up a HSA?

As a senior on Medicare, you may wonder if you can set up a Health Savings Account (HSA) to manage your healthcare expenses effectively. The short answer is no, seniors who are enrolled in Medicare cannot establish a new HSA. However, if you had an HSA before enrolling in Medicare, you can continue to use the funds in that account for eligible medical expenses.

Medicare coverage typically includes hospital visits, doctor appointments, and prescription medications. While you cannot contribute to an HSA after enrolling in Medicare, having an existing HSA can still be beneficial in managing your out-of-pocket healthcare costs.

It's essential to understand the rules and limitations regarding HSAs and Medicare:

  • Seniors on Medicare cannot open new HSAs
  • Existing HSA funds can be used for eligible medical expenses
  • HSA contributions cannot be made once enrolled in Medicare
  • HSA distributions for non-qualified expenses after age 65 are subject to income tax but not penalties

While setting up a new HSA after enrolling in Medicare is not an option, seniors can explore other healthcare savings options like Flexible Spending Accounts (FSAs) or personal savings to supplement their Medicare coverage.


As a senior enrolled in Medicare, you might be asking yourself, can I set up a Health Savings Account (HSA)? The answer is unfortunately no; once you are on Medicare, establishing a new HSA is not permissible. However, if you had set up an HSA prior to your Medicare enrollment, you still have the ability to utilize those funds for eligible medical costs.

Medicare includes essential services such as hospital visits, doctor appointments, and prescription drugs. While your contributions to an HSA must cease once you enroll in Medicare, your existing HSA continues to be a valuable resource for managing out-of-pocket medical expenses effectively.

Understanding the connection between HSAs and Medicare is crucial:

  • It is not possible for seniors on Medicare to open a new HSA.
  • You can continue using your existing HSA funds for qualifying medical expenditures.
  • Once you are enrolled in Medicare, no additional HSA contributions can be made.
  • If you withdraw funds from an HSA for non-qualified expenses after turning 65, although you will face income tax, penalties will not apply.

While you might be restricted from setting up a new HSA, alternatives like Flexible Spending Accounts (FSAs) or personal savings can be great options to further support your healthcare coverage alongside 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