Can Someone Over 65 Start a New HSA?

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses while saving for the future. One common question that arises is whether someone over 65 can start a new HSA. The short answer is that individuals over 65 can open and contribute to an HSA, but there are some considerations to keep in mind.

Age Limit for HSA Contributions

While there is no age limit for having an HSA, there are rules regarding contributions once you enroll in Medicare. Here's what you need to know:

  • If you are enrolled in Medicare, you are no longer eligible to contribute to an HSA.
  • If you delay enrolling in Medicare past age 65 and continue to have a qualifying high-deductible health plan (HDHP), you can still contribute to your HSA.

Benefits of an HSA for Seniors

Even if you can no longer contribute to your HSA after enrolling in Medicare, there are still benefits to having an existing HSA if you opened it before enrolling:

  • You can continue to use the funds in your HSA to pay for qualified medical expenses tax-free.
  • HSA funds can also be used to pay for Medicare premiums, deductibles, copayments, and coinsurance.

Key Considerations

Here are some important points to consider if you are over 65 and considering opening an HSA:

  • Make sure you understand the rules regarding HSA contributions and Medicare enrollment.
  • Consult with a financial advisor to determine if an HSA is the right choice for you based on your individual circumstances.

While opening a new HSA after the age of 65 may have some limitations, there are still ways to benefit from having an HSA if you plan accordingly.


Health Savings Accounts (HSAs) are increasingly recognized as a pivotal tool for managing healthcare costs, especially for those nearing or in retirement. If you're over 65 and curious about HSAs, here’s what you need to know.

Opening an HSA After 65

While those aged 65 and older can open an HSA, there are crucial nuances once you enroll in Medicare. Consider the following:

  • The clock stops on your ability to contribute to your HSA the moment you enroll in Medicare.
  • Should you choose to postpone Medicare enrollment and maintain a high-deductible health plan (HDHP), your HSA contribution options remain intact.

Maximizing HSA Benefits in Your Golden Years

Even if new contributions cease after Medicare enrollment, there are significant perks tied to having an HSA:

  • Withdrawal of HSA funds for qualified medical expenses can occur without incurring taxes.
  • Funds can aid in managing Medicare-related costs, including premiums and out-of-pocket expenses.

Important Things to Keep in Mind

If you’re over 65 and pondering a new HSA, here are some pointers:

  • Stay informed about the interplay between HSA contributions and Medicare enrollment.
  • Engaging with a financial advisor can clarify whether an HSA aligns with your unique financial situation.

In summary, while there are constraints on new contributions for those over 65, an existing HSA can still be a smart financial choice with proper planning.

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