What Happens to HSA When You Turn 65?

As you approach the age of 65, you might have questions about what happens to your Health Savings Account (HSA) at that time. A Health Savings Account is a tax-advantaged account that individuals can use to save for medical expenses.

So, what happens to your HSA when you turn 65?

When you turn 65:

  • You can withdraw funds for non-medical expenses penalty-free, but you will have to pay income tax on the withdrawal.
  • If you enroll in Medicare, you can still use your HSA funds to pay for eligible medical expenses, including premiums, copays, and deductibles.

Some other key points to note:

  • Once you enroll in Medicare, you can no longer contribute to your HSA, as Medicare is not considered an HDHP (high-deductible health plan).
  • If you delay enrolling in Medicare past the age of 65 and continue working, you can still contribute to your HSA until you enroll in Medicare.
  • Your HSA funds continue to roll over year after year, and there is no requirement to spend the funds by a certain age.

It's important to understand the rules and regulations surrounding HSAs as you approach retirement age to make the most of your savings and benefits.


When you reach 65, it's a significant milestone, especially for your Health Savings Account (HSA). At this age, the rules surrounding your HSA start to shift, allowing for added flexibility.

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