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Can You Be on Medicare and Have an HSA Account?

Published November 3, 2022

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Short answer: Yes, you can be on Medicare and have an HSA if you are enrolled in an HDHP, have no other non-HDHP coverage, and are not receiving Medicare benefits; you also can’t contribute once enrolled in Medicare.

Medicare eligibility to keep an HSA

Many people wonder if they can be on Medicare and still have a Health Savings Account (HSA). The answer is yes, but there are some restrictions and considerations to keep in mind.

Medicare recipients are allowed to have an HSA as long as they meet certain criteria:

  • You are enrolled in a High Deductible Health Plan (HDHP).
  • You are not enrolled in any other health coverage that is not an HDHP.
  • You are not receiving benefits from Medicare, such as Part A or Part B.

Contribution limits and using existing HSA

If you meet these criteria, you can contribute to an HSA while on Medicare. However, there are limitations on how much you can contribute each year, based on your age and the type of coverage you have.

It's important to note that once you enroll in Medicare, you can no longer contribute to an HSA. However, you can still use the funds in your existing HSA for qualified medical expenses.

Having an HSA can be beneficial for Medicare recipients as it can help cover out-of-pocket expenses, such as deductibles, copayments, and coinsurance.

If you are eligible for both Medicare and an HSA, be sure to carefully consider your options and consult with a financial advisor to make the most of these accounts.

Key guidance for Medicare and HSA

Are you on Medicare and curious if you can still manage a Health Savings Account (HSA)? The straightforward response is yes, as long as you adhere to certain guidelines that set the parameters for participation.

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