Can You Set Up an HSA If You Are on Medicare?

Many individuals wonder whether they can set up a Health Savings Account (HSA) if they are on Medicare. The short answer is that while you cannot contribute to an HSA once you are enrolled in Medicare, you can still use the funds in your existing HSA to pay for qualified medical expenses.

Medicare is primarily for individuals aged 65 and older, and it provides essential health coverage. While it offers comprehensive benefits, some out-of-pocket costs may still arise. This is where an HSA can be particularly beneficial.

Here are some key points to consider regarding HSAs and Medicare:

  • Once you enroll in Medicare, you are no longer eligible to contribute to an HSA.
  • If you were already contributing to an HSA before enrolling in Medicare, you can continue to use the funds for qualified medical expenses tax-free.
  • You can use HSA funds to pay for Medicare premiums, deductibles, copayments, and coinsurance.
  • Having an HSA can help you cover healthcare costs not included in your Medicare coverage, such as dental, vision, or long-term care expenses.

It's essential to plan for healthcare expenses effectively, especially during retirement when medical needs may increase. While you can't add to your HSA after enrolling in Medicare, the funds you've saved can still offer valuable financial support for your healthcare needs.


Wondering if you can still set up a Health Savings Account (HSA) while enrolled in Medicare? The straightforward answer is that once you're on Medicare, you cannot contribute to an HSA. However, your existing HSA funds remain available for qualified medical expenses, ensuring continued financial support in managing your healthcare costs.

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