Can You Still Use Your HSA Funds After Enrolling in Medicare?

One common question that individuals have when considering Medicare enrollment is whether they can still use their HSA funds after enrolling in Medicare. The answer is yes, but there are some restrictions and guidelines to keep in mind.

When you enroll in Medicare, you are no longer eligible to contribute to your HSA since Medicare enrollment disqualifies you from making new HSA contributions. However, you can still use the funds that are already in your HSA account for qualified medical expenses.

Here are some key points to remember about using your HSA funds after enrolling in Medicare:

  • Once you enroll in Medicare, you can no longer contribute to your HSA.
  • You can use your existing HSA funds tax-free for qualified medical expenses, including Medicare premiums, copays, deductibles, and coinsurance.
  • If you use your HSA funds for non-qualified expenses after enrolling in Medicare and you are under 65, you will incur a 20% penalty in addition to owing income tax on the amount used.
  • If you are over 65, you can use your HSA funds for non-qualified expenses without incurring the 20% penalty, but you will owe income tax on the amount used.
  • It's essential to keep track of your HSA expenses and ensure they are used for qualified medical expenses to avoid penalties.

In summary, while you can no longer contribute to your HSA once you enroll in Medicare, you can still use the existing funds in your account for qualified medical expenses without penalty. Just be mindful of the guidelines to make the most of your HSA funds while on Medicare.


Many individuals wonder what happens to their Health Savings Account (HSA) funds once they enroll in Medicare. While the good news is that you can still use your HSA funds, it's important to note that Medicare enrollment affects your ability to contribute to your HSA.

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