Do HSA Distributions Count Towards IRMAA?

Health Savings Accounts (HSAs) are a valuable tool for saving money on medical expenses while also providing tax benefits. However, there are some rules and regulations surrounding HSAs that can be confusing for account holders. One common question that arises is whether HSA distributions count towards Medicare's Income-Related Monthly Adjustment Amount (IRMAA).

IRMAA is an additional amount that Medicare recipients must pay if their income is above a certain threshold. It is calculated based on modified adjusted gross income (MAGI) from two years prior. So, do HSA distributions impact IRMAA?

The answer is no, HSA distributions do not count towards IRMAA calculations. This is because HSA distributions are not included in the calculation of MAGI for determining IRMAA amounts. This is good news for HSA account holders as it means they can use their HSA funds for qualified medical expenses without worrying about affecting their Medicare costs.


When it comes to managing your healthcare costs, understanding the nuances of Health Savings Accounts (HSAs) is crucial. A common concern among account holders is whether the distributions they take from their HSAs will count towards the Income-Related Monthly Adjustment Amount (IRMAA) for Medicare.

The good news is that HSA distributions do not impact your IRMAA charges. This means that withdrawals used for qualified medical expenses will not increase your Medicare premiums based on income thresholds. Knowing this can provide peace of mind when planning your healthcare finances.

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