Can You Have an HSA After Age 65? Exploring HSA Eligibility for Seniors

Health Savings Accounts (HSAs) are a valuable tool for managing healthcare expenses, offering individuals a tax-advantaged way to save money for medical costs. But what happens to your HSA when you reach age 65?

Contrary to popular belief, reaching age 65 does not disqualify you from having an HSA. In fact, you can continue using your HSA well past the traditional retirement age. Here's what you need to know:

  • Upon turning 65, you are no longer able to contribute to your HSA if you are enrolled in Medicare. However, you can still use the funds in your account for qualified medical expenses tax-free.
  • If you delay enrolling in Medicare past age 65, you can continue contributing to your HSA until you do enroll in Medicare.
  • Once you enroll in Medicare, you can still use the funds in your HSA for qualified medical expenses, including Medicare premiums, long-term care premiums, and out-of-pocket costs.
  • After age 65, you can also use your HSA funds for non-medical expenses penalty-free, although these withdrawals will be subject to income tax.

Having an HSA after age 65 can provide seniors with flexibility and additional funds to cover healthcare expenses in retirement. It's important to understand the rules and limitations surrounding HSAs to make the most of this valuable resource.


Reaching the age of 65 is a significant milestone, but it's important to know that your Health Savings Account (HSA) is still a viable asset for managing healthcare costs. You can use it to cover a broad range of medical expenses even in your golden years.

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