Can You Have an HSA with Medicare Part A Only?

Health Savings Accounts (HSAs) are a valuable tool for saving money on medical expenses while also reducing taxable income. However, for individuals enrolled in Medicare, there are some restrictions on setting up an HSA. One common question that arises is whether you can have an HSA with Medicare Part A only.

Medicare Part A typically covers hospital stays, skilled nursing facility care, hospice, and some home health care services. It's important to note that having only Medicare Part A does not make you eligible to contribute to an HSA. To contribute to an HSA, you must meet the following criteria:

  • Be covered under a High Deductible Health Plan (HDHP)
  • Not be enrolled in Medicare
  • Not be claimed as a dependent on someone else's tax return

As Medicare Part A is not considered an HDHP, individuals with only Medicare Part A are not eligible to contribute to an HSA. However, if you have Medicare Part A and are still working and covered by an employer's HDHP, you may be able to continue contributing to your HSA until you enroll in Medicare Part B.

If you are considering enrolling in Medicare, it's essential to understand how it may impact your HSA eligibility and contributions. Consulting with a financial advisor or tax professional can help you make informed decisions about your healthcare and retirement savings strategy.


Health Savings Accounts (HSAs) are designed to help individuals save on healthcare costs while also providing tax advantages. However, if you are solely enrolled in Medicare Part A, you cannot make contributions to an HSA. This is because HSAs require you to have a High Deductible Health Plan (HDHP), which Medicare Part A does not qualify as.

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