Can You Contribute to HSA the Same Year You Get Medicare?

When it comes to managing your healthcare expenses, understanding the rules around Health Savings Accounts (HSAs) is crucial. One common question that arises is whether you can contribute to an HSA in the same year you become eligible for Medicare.

Medicare eligibility typically begins at age 65, and many individuals wonder about the implications for their HSA contributions. The answer lies in the type of Medicare you are eligible for:

  • Original Medicare (Part A and/or Part B): If you are enrolled in any part of Original Medicare, you can continue to contribute to your HSA. However, you cannot make contributions starting from the month you enroll in Medicare.
  • Medicare Advantage (Part C) or other Medicare plans that provide additional coverage: Enrolling in these plans makes you ineligible to contribute to an HSA, as they are considered disqualifying health coverage.
  • If you delay enrolling in Medicare: Some individuals choose to delay enrolling in Medicare, especially if they have employer-sponsored health coverage. In this scenario, you can continue to contribute to your HSA until you enroll in Medicare.

Understanding the nuances of HSA contributions and Medicare eligibility can help you make informed decisions about your healthcare savings. It's essential to plan ahead and consider how your HSA may fit into your overall healthcare strategy as you approach Medicare age.


Understanding your healthcare savings is essential, especially when you start thinking about Medicare. If you become eligible for Medicare at age 65, you might be wondering about your HSA contribution options for that year.

The rules regarding Health Savings Accounts (HSAs) can be a bit complex, particularly concerning Medicare:

  • With Original Medicare (Parts A and/or B), you can contribute to your HSA until the month you enroll. Remember, once you enroll, your contribution capability halts.
  • However, if you turn to Medicare Advantage plans (Part C), you can no longer make HSA contributions since these plans generally disqualify you.
  • Consider delaying Medicare enrollment if you're covered by an employer-sponsored plan—this allows you to continue contributing to your HSA without interruption.

Ultimately, being proactive and understanding these factors will help you maximize your healthcare savings as you transition into Medicare.

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