HSA Shop logoHSA Shop

HSA Guide

Can You Have an HSA if You're Collecting? - Understanding HSA Eligibility

Published December 5, 2022

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

Get the app
Short answer: You cannot open a new HSA while collecting Medicare benefits, but you can use existing HSA funds; if you had an HSA before enrolling in Medicare, you can continue without new contributions.

Can you open an HSA on Medicare

If you're wondering whether you can have a Health Savings Account (HSA) while collecting, the answer is both yes and no. In order to contribute to an HSA, you must have a high-deductible health plan (HDHP). Individuals who are already receiving Medicare benefits are not eligible to open new HSAs, as Medicare is not a high-deductible health plan. However, there are exceptions for those who have existing HSAs when they enroll in Medicare.

If you're at the stage of collecting Medicare benefits, you may wonder about your ability to maintain a Health Savings Account (HSA). While those on Medicare cannot contribute to a new HSA, they can certainly utilize existing funds. It’s essential to familiarize yourself with the rules and restrictions of HSAs to make the most of this valuable resource.

Key HSA eligibility and continuation rules

It's important to understand the rules and eligibility criteria surrounding HSAs to maximize the benefits they offer. Here are the key points to remember:

  • If you're collecting Medicare benefits, you cannot open a new HSA.
  • If you already have an HSA when you enroll in Medicare, you can continue to use those funds but cannot make new contributions.
  • Spouses can inherit an HSA tax-free and continue to use the funds for qualified medical expenses if the account is properly transferred to them.
  • Individuals can use their existing HSA funds tax-free for qualified medical expenses, regardless of their Medicare status.

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