Can You Keep HSA Account After Going on Medicare?

One common question for those nearing retirement is whether they can keep their HSA account after going on Medicare. Medicare eligibility typically begins at age 65, and many individuals have been contributing to an HSA to save for medical expenses. Understanding how these two health care options interact is crucial for maximizing benefits and avoiding penalties.

When you enroll in Medicare, you are no longer eligible to contribute to an HSA, but you can still use the funds in your existing account tax-free for qualified medical expenses. Here's a breakdown of what happens to your HSA when you transition to Medicare:

  • You can keep your HSA account even after enrolling in Medicare.
  • You cannot make new contributions to the HSA once you are on Medicare.
  • You can continue to use the funds in your HSA for qualified medical expenses tax-free.
  • If you use HSA funds for non-qualified expenses after enrolling in Medicare, you will incur income tax on the amount withdrawn, similar to a Traditional IRA.

It's important to plan for this transition and consider how you will manage your healthcare expenses once on Medicare. While you can no longer contribute to the HSA, having a balance in the account can still be beneficial for covering medical costs.


As you approach retirement and consider transitioning to Medicare, a prevalent inquiry is whether your Health Savings Account (HSA) can remain active. Though Medicare kicks in at age 65, your previous contributions to an HSA can still play a significant role in your health care financing.

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