HSA Shop logoHSA Shop

HSA Guide

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

Published December 5, 2022

Check eligibility on the gobrowse 7,000+ HSA-eligible products in the free app.

Get the app
Short answer: Yes, you can have an HSA while collecting Medicare benefits, but only if you meet HSA eligibility criteria and are not enrolled in Medicare Part A and B or Medicare Advantage, and you cannot contribute after enrolling in Medicare.

HSA eligibility while receiving Medicare benefits

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.

Benefits and planning under HSA rules

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.

Free App

Browse 7,000+ HSA-Eligible Products

Search by symptom, get price alerts, and build your HSA shopping list — all in the free app.

← Back to all articles