Do I Have to Take Medicare at 65 If I'm Still Working and Have HSA?

As you approach the age of 65, you may be wondering whether you need to enroll in Medicare if you are still working and have a Health Savings Account (HSA).

Having an HSA can be a great asset for managing your healthcare expenses, but it does not necessarily exempt you from enrolling in Medicare at 65. Here's what you need to know:

While having an HSA can work in conjunction with Medicare, it doesn't replace Medicare coverage.

Typically, if you are still working and have employer-sponsored health insurance at age 65, you may be able to delay enrolling in Medicare Part A and Part B without facing penalties.

However, it's essential to understand the rules and guidelines surrounding Medicare and HSAs to make the best decision for your healthcare coverage.

If you have an HSA and are approaching 65 while still employed, consider the following factors:

  • You can delay enrolling in Medicare Part A and Part B without penalties if you have qualifying employer-sponsored health insurance.
  • Consult with your employer's benefits administrator to understand how your current health coverage works with Medicare.
  • Remember that once you retire or are no longer covered by employer-sponsored health insurance, you will need to enroll in Medicare to avoid late enrollment penalties.
  • Keep in mind that you can continue to contribute to your HSA after enrolling in Medicare, as long as you are not enrolled in Medicare Part A or Part B.

It's crucial to plan ahead and make informed decisions to ensure you have the right healthcare coverage in place as you transition into retirement.


As you approach the milestone of turning 65, it's natural to have questions about Medicare enrollment, especially if you’re still gainfully employed and enjoy the benefits of your Health Savings Account (HSA). Understanding how these two aspects work together is vital for your health planning.

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