Can You Still Contribute to HSA on Medicare?

Many people wonder if they can still contribute to an HSA (Health Savings Account) while on Medicare. The short answer is no, you cannot contribute to an HSA once you enroll in Medicare. However, there are some exceptions and important details to keep in mind.

Medicare is a government health insurance program for individuals aged 65 and older, as well as certain younger individuals with disabilities. When you enroll in Medicare, you are no longer eligible to contribute to an HSA, but you can still use the funds that are already in your account for qualified medical expenses.

Here are some key points to understand about contributing to an HSA on Medicare:

  • Once you enroll in any part of Medicare (Part A, B, C, or D), you are no longer eligible to make contributions to an HSA.
  • If you were already enrolled in Medicare and had an HSA before enrolling, you can still use the funds already in the account for qualified medical expenses tax-free.
  • If you delay enrolling in Medicare and continue working past the age of 65 with employer-provided health insurance that meets HSA eligibility requirements, you can still contribute to your HSA.
  • It's important to plan for how your HSA contributions will change once you become eligible for Medicare to avoid any penalties or tax issues.

While you can't contribute to an HSA on Medicare, you can still benefit from the savings you've accumulated in the account over the years. Understanding the rules and exceptions regarding HSA contributions on Medicare can help you make informed decisions about your healthcare savings.


Many people ponder whether it's still possible to contribute to a Health Savings Account (HSA) once they enroll in Medicare. Unfortunately, the straightforward answer is no; once you join any part of Medicare, contributions to your HSA are no longer permitted. That said, there are important considerations and nuances to be aware of.

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