Can You Have an HSA with Medicare? Understanding Your Healthcare Options

Many people wonder if they can have a Health Savings Account (HSA) with Medicare. The answer is not a simple yes or no, but rather depends on certain factors and rules set by the IRS and Medicare.

Here is what you need to know:

  • If you are already enrolled in Medicare, you cannot open a new HSA.
  • If you are eligible for Medicare but have not enrolled, you can still contribute to your existing HSA if you meet the eligibility requirements.
  • It's important to understand that once you enroll in any part of Medicare, including Part A, B, C, or D, you are no longer eligible to contribute to an HSA.

Overall, the key is to plan ahead and make informed decisions about your healthcare options to make the most of both your HSA and Medicare benefits.


Many people are curious about whether they can have a Health Savings Account (HSA) once they reach Medicare age, and the answer is a bit nuanced. Remember, if you're already enrolled in Medicare, opening a new HSA is off the table.

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