Can You Keep an HSA Account While on Medicare?

When it comes to managing your healthcare expenses, having a Health Savings Account (HSA) can be a valuable tool. But what happens to your HSA account once you become eligible for Medicare? This is a common question for individuals nearing retirement age or transitioning to Medicare coverage. The good news is that you can keep your HSA account while on Medicare, but there are some important considerations to keep in mind.

One key point to remember is that in order to continue contributing to your HSA account, you must be enrolled in a high-deductible health plan (HDHP). Once you enroll in Medicare, you are no longer eligible to enroll in an HDHP, which means you can no longer contribute to your HSA account. However, you can still use the funds in your existing HSA account for qualified medical expenses, tax-free.

It's essential to understand the rules and restrictions surrounding HSAs and Medicare to make the most of your healthcare savings. If you have an HSA account and are nearing Medicare eligibility, it's a good idea to consult with a financial advisor or tax professional to ensure you are maximizing your benefits while staying compliant with IRS regulations.


Understanding how your Health Savings Account (HSA) interacts with Medicare is crucial for anyone approaching retirement. While you can retain your HSA when you become eligible for Medicare, it’s essential to note that the ability to contribute to this account will change. You can only contribute to an HSA if you're enrolled in a high-deductible health plan (HDHP), which you cannot have once you enroll in Medicare.

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