What Happens to Money in Employee's HSA If Retired with a Balance?

When an employee retires with a balance in their HSA, the money doesn't disappear. There are several options available for them to utilize the remaining funds:

  • The employee can continue to use the HSA funds for qualified medical expenses even after retirement.
  • If the retiree is enrolled in Medicare, they can use the HSA funds to pay for Medicare premiums, deductibles, copays, and coinsurance.
  • Retirees can also use the HSA funds for long-term care insurance premiums and other qualified medical expenses not covered by Medicare.
  • If the retiree no longer has an HDHP but still has money in the HSA, they can withdraw the funds for non-medical expenses. However, these withdrawals will be subject to income tax and a 20% penalty if the retiree is under 65.

It's important for employees to understand their options and make informed decisions about their HSA funds upon retirement. Planning ahead can help retirees make the most of their HSA savings for healthcare expenses in retirement.


When an employee reaches retirement with an HSA balance, it's reassuring to know that those funds remain accessible. The money can still be put to good use:

  • They're eligible for continued use toward qualifying medical expenses well into retirement.
  • For retirees enrolled in Medicare, HSA funds can cover expenses like Medicare premiums, deductibles, coinsurance, and copays.
  • Additionally, long-term care insurance premiums can be paid using HSA funds, as well as various medical expenses not covered by Medicare.
  • If a retiree doesn't have a High Deductible Health Plan (HDHP) anymore, they can still withdraw HSA dollars for non-medical purposes, though these would incur income tax and a 20% penalty before age 65.

Proper planning allows retirees to fully leverage their HSA for future healthcare needs, ensuring financial peace of mind.

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