What Happens to HSA Money After Age 65?

As you plan for retirement, you may be wondering what will happen to the money in your Health Savings Account (HSA) after you turn 65. HSAs are a great way to save for medical expenses tax-free, but understanding the rules for using the funds after retirement is important.

So, what happens to your HSA money after age 65?

At age 65, you can continue to use the funds in your HSA for qualified medical expenses. However, if you use the money for non-medical expenses, the withdrawal will be subject to income tax without penalty. Here are some key points to remember:

  • After age 65, you can use HSA funds for any expense without penalty, but income tax will apply if not used for qualified medical expenses.
  • If you have Medicare coverage, you can still use HSA funds for out-of-pocket medical costs, including premiums, deductibles, copays, and coinsurance.
  • You can also use HSA funds to pay for long-term care insurance premiums or qualified long-term care services.
  • After age 65, HSA funds can be used to cover a wide range of medical expenses, including vision, dental, and over-the-counter medications.

It's important to note that even after age 65, the money in your HSA remains yours, and there are no required minimum distributions (RMDs) like other retirement accounts. This means you can continue to let your HSA funds grow tax-free for as long as you like.


As you approach retirement, understanding your Health Savings Account (HSA) becomes crucial, especially regarding what happens to your HSA funds after turning 65. While HSAs allow you to save for medical expenses tax-free, the regulations post-retirement can raise some questions.

So, what can you expect for your HSA funds upon reaching age 65?

Once you hit 65, you can still tap into your HSA for any qualified medical expenses without worry. However, if you choose to withdraw for non-medical purposes, be aware that while there won't be a penalty, you'll still owe income taxes on that amount. Here are some essential takeaways:

  • Post-65, using your HSA for any expense comes without penalty, although non-medical usage will incur income taxes.
  • For those enrolled in Medicare, HSA funds can still cover out-of-pocket expenses such as premiums and deductibles.
  • You can also utilize HSA funds to cover long-term care insurance payments or eligible long-term care services.
  • Additionally, your HSA can be a critical resource for various medical costs, extending to vision, dental, and even over-the-counter medications.

One of the best perks? Unlike other retirement accounts, your HSA funds don't require minimum distributions (RMDs) after age 65, allowing your investments to grow tax-free for as long as you desire.

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