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

When employees retire with a balance in their Health Savings Account (HSA), they have several options on what happens to the money in their HSA. The funds in the HSA do not expire and remain with the employee even after retirement. Here are some possible scenarios:

  • The retiree can continue to use the HSA funds to pay for qualified medical expenses tax-free. This includes expenses such as deductibles, co-pays, prescription medications, and other eligible healthcare costs.
  • If the retiree enrolls in Medicare, they can also use the HSA funds to pay for Medicare premiums, deductibles, copayments, and coinsurance.
  • Alternatively, the retiree can choose to withdraw the funds for non-medical expenses. While these withdrawals are subject to income tax, individuals aged 65 and older can make penalty-free withdrawals for any reason.
  • Another option is to leave the money in the HSA account to continue growing tax-free. There is no requirement to empty the HSA or close the account after retirement.

It's essential for retired employees to understand their options and make informed decisions about their HSA funds to maximize the benefits in retirement.


When employees retire and have a balance in their Health Savings Account (HSA), the funds remain available for their use, offering them flexibility and tax advantages even after they’ve stopped working. The account can serve as a valuable resource for managing healthcare costs in retirement.

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