How to Keep an HSA If I Lose Eligibility?

Having a Health Savings Account (HSA) can be a great way to save for medical expenses while enjoying tax benefits. However, you may wonder what happens to your HSA if you lose eligibility. Here are some important steps you can take to keep your HSA:

1. Understand Your Options: If you lose eligibility for an HSA due to changes like switching to a non-HDHP (High Deductible Health Plan) or enrolling in Medicare, you can no longer contribute to your HSA, but you can still use the funds already in it for qualified medical expenses.

2. Keep Your HSA Open: Even if you are no longer eligible to make new contributions, you can keep your existing HSA open. This allows you to continue using the funds in the account for eligible medical costs.

3. Avoid Penalties: It's crucial to avoid using HSA funds for non-qualified expenses to prevent penalties. Make sure to reserve the funds for medical costs to benefit from tax-free withdrawals.

4. Consider Alternatives: If you no longer qualify for an HSA, look into other tax-advantaged accounts like Flexible Spending Accounts (FSAs) or Health Reimbursement Arrangements (HRAs) that may suit your current situation.

By understanding your options and taking the necessary steps, you can effectively manage your HSA even if you lose eligibility.


Having a Health Savings Account (HSA) is a smart financial move for managing your healthcare expenses while taking advantage of tax benefits. However, if you lose eligibility due to changing your health insurance plan or enrolling in Medicare, it's essential to know how to maintain your HSA. Here’s what you can do:

1. Know Your New Status: Losing HSA eligibility may halt new contributions, but your existing funds remain available for paying qualified medical expenses, allowing you to preserve your savings for healthcare.

2. Keep It Open and Active: Your HSA doesn’t close automatically when you lose eligibility. Keeping it open means you can use the funds saved up for eligible out-of-pocket costs, still providing you with some financial flexibility.

3. Use Funds Wisely: It’s vital to reserve your HSA funds exclusively for qualified expenses. Utilizing them for non-qualified purchases could lead to tax penalties, so be mindful to only withdraw for healthcare costs.

4. Explore Other Options: If you cannot contribute to your HSA anymore, consider looking into other healthcare accounts such as Flexible Spending Accounts (FSAs) or Health Reimbursement Arrangements (HRAs) that may provide health-related financial support during this time.

By staying informed about your options and managing your existing HSA appropriately, you can maximize the benefits even after losing your eligibility.

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