Can You Be on Medicare and Still Contribute to an HSA?

Many individuals wonder if they can continue contributing to a Health Savings Account (HSA) while being on Medicare. The answer is no; once you enroll in Medicare, federal law prohibits you from contributing to an HSA.

Medicare is a federal health insurance program that primarily covers individuals who are aged 65 and older, as well as certain younger people with disabilities. Here are some key points to understand about HSAs and Medicare:

  • HSAs are designed to work alongside high-deductible health plans (HDHPs) to help individuals save and pay for qualified medical expenses tax-free.
  • Individuals must be enrolled in an HDHP to be eligible to contribute to an HSA.
  • Once an individual enrolls in Medicare, they are no longer eligible to contribute to an HSA, even if they remain covered by an HDHP.
  • However, individuals who have existing HSA balances can still use those funds for qualified medical expenses, even after enrolling in Medicare.

It's essential to be aware of these rules to avoid any potential penalties or issues with your HSA. If you have more questions about HSAs and Medicare, it's advisable to consult with a financial advisor or tax professional.


Have you ever wondered about the relationship between Medicare and your Health Savings Account (HSA)? Once you enroll in Medicare, you should be aware that contributions to an HSA are no longer permitted. This is a crucial point for anyone approaching retirement age.

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