Can someone on Medicare have an HSA?

Many people wonder if they can have a Health Savings Account (HSA) while being on Medicare. The answer is yes, but with some restrictions and rules to follow. Having an HSA while on Medicare can offer additional benefits and flexibility in managing healthcare expenses.

Here are the key points to consider:

  • Enrollment in Medicare Part A or Part B makes you ineligible to contribute to an HSA.
  • If you are not receiving Social Security benefits and want to delay Medicare enrollment to continue contributing to your HSA, you must meet specific requirements.
  • Once you enroll in Medicare, you can no longer contribute to the HSA, but you can still use the funds for qualified medical expenses tax-free.

It's important to understand the guidelines and restrictions to make informed decisions about having an HSA while on Medicare.


For those approaching retirement and considering Medicare, the question of maintaining a Health Savings Account (HSA) often comes up, and while you can still enjoy the benefits of your HSA, it’s crucial to understand how Medicare impacts your eligibility.

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