Can You Have an HSA When You're 65? Exploring HSA Eligibility at Age 65

Health Savings Accounts (HSAs) are a great tool for managing healthcare expenses, but many people wonder if they can continue using an HSA once they turn 65. The short answer is yes, you can have an HSA when you're 65, but there are some key considerations to keep in mind.

As with any financial account, there are rules and guidelines that govern HSAs, even after you reach age 65. Here's what you need to know:

  • Once you enroll in Medicare, you can no longer contribute to your HSA, as Medicare is not a high-deductible health plan.
  • You can still use the funds in your HSA tax-free for qualified medical expenses, including Medicare premiums, copays, deductibles, and other out-of-pocket costs.
  • If you delay enrolling in Medicare and continue to have a high-deductible health plan, you can keep contributing to your HSA.
  • After turning 65, you can withdraw funds from your HSA for any reason without penalty, although non-medical withdrawals will be subject to income tax.
  • HSAs offer a triple tax advantage: contributions are tax-deductible, funds grow tax-free, and withdrawals for qualified medical expenses are tax-free.

So, while your ability to contribute to an HSA may change once you turn 65, the account remains a valuable tool for managing healthcare costs in retirement. Consult with a financial advisor or tax professional to maximize the benefits of your HSA as you navigate the transition to Medicare and beyond.


Yes, you can have a Health Savings Account (HSA) when you’re 65! However, it's essential to understand how your age impacts your contributions and usage of the account.

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