What Happens to an HSA When You Retire?

When you retire, your Health Savings Account (HSA) remains yours to keep, and you have several options on how to manage it. Here are some common scenarios:

If you continue to have qualified medical expenses after retirement, you can keep using your HSA funds tax-free for those expenses. You can also:

  • Use the HSA funds for Medicare premiums (not for Medigap or Medicare supplement plans).
  • Make penalty-free withdrawals for non-medical expenses after age 65, though income tax will apply.
  • Choose to use the HSA as a retirement savings vehicle by treating it like a traditional IRA after age 65. In this case, you'll pay income tax on withdrawals for non-medical expenses but can use it tax-free for medical costs.

Remember that contributing to an HSA requires being enrolled in a High Deductible Health Plan (HDHP). If you switch to a non-HDHP plan after retirement, you can no longer contribute to the HSA, but you can still use the funds for qualified medical expenses.


Upon reaching retirement, your Health Savings Account (HSA) remains securely under your ownership, allowing you multiple avenues for its management. The best part? You can continue using your HSA funds tax-free for any qualified medical expenses incurred even during retirement.

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