Can You Have an HSA if You're Collecting Medicare?

One common question that many people have is whether they can have a Health Savings Account (HSA) if they're collecting Medicare benefits. The answer is yes, but with some restrictions and considerations.

When it comes to having an HSA and Medicare at the same time, there are a few things to keep in mind:

  • If you are enrolled in Medicare, you can still have an HSA as long as you meet certain criteria.
  • To be eligible for an HSA, you must be enrolled in a high-deductible health plan (HDHP).
  • Medicare Part A and Part B coverage are not considered HDHPs, so you cannot contribute to an HSA if you are enrolled in these parts of Medicare.
  • If you are only enrolled in Medicare Part A or Part B, you may still be able to contribute to an HSA if you have a separate HDHP.
  • However, if you are enrolled in Medicare Advantage (Part C) or a supplemental Medigap plan, you are not eligible to contribute to an HSA.
  • Keep in mind that contributions to an HSA cannot be made once you enroll in Medicare, so it's important to plan accordingly.

Despite these restrictions, having an HSA while on Medicare can still offer some benefits, such as using HSA funds for out-of-pocket expenses not covered by Medicare.

Ultimately, it's essential to understand the rules and limitations regarding HSAs and Medicare to make informed decisions about your healthcare and finances.


Many individuals nearing retirement wonder about the intersection of having a Health Savings Account (HSA) while receiving Medicare benefits. The good news is that you can certainly maintain an HSA, provided you meet specific guidelines.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter