What Happens to My HSA After I Start Medicare?

Many individuals wonder about the fate of their Health Savings Account (HSA) once they transition to Medicare. It's essential to understand how Medicare impacts your HSA and what options you have moving forward.

When you enroll in Medicare, here's what typically happens to your HSA:

  • Your HSA contributions must cease since you are no longer eligible to contribute to an HSA while enrolled in Medicare.
  • You can still use the funds in your HSA tax-free for qualified medical expenses, including deductibles, copayments, and coinsurance not covered by Medicare.
  • If you use HSA funds for non-qualified expenses after starting Medicare and you are under 65, you will incur a tax penalty.
  • If you wait until you turn 65 to join Medicare, you can continue contributing to your HSA until you enroll in Medicare Part A.
  • After enrolling in Medicare, you can no longer contribute to your HSA, but you can still withdraw funds tax-free for qualified medical expenses.

It's crucial to plan ahead and understand the implications of transitioning to Medicare on your HSA. Make sure to consult with a tax advisor or financial planner to navigate these changes effectively.


When transitioning to Medicare, many people are left wondering what will happen to their Health Savings Account (HSA). It's important to be informed about the implications of Medicare on your HSA and how your financial planning may need to change.

Typically, once you enroll in Medicare:

  • You must stop making contributions to your HSA, as eligibility ceases with Medicare enrollment.
  • Your existing HSA funds remain accessible, allowing you to spend them tax-free on qualified medical expenses, such as those out-of-pocket costs not fully covered by Medicare.
  • Be cautious, as using your HSA for non-qualified expenses will incur tax penalties if you are under 65.
  • If you delay enrolling in Medicare until you reach 65, you can continue to contribute to your HSA until you start Medicare Part A.
  • Post-enrollment, while you can no longer contribute, remember that you can still make tax-free withdrawals for qualified healthcare expenses.

Being proactive and understanding how Medicare will affect your HSA is crucial. Consulting a tax advisor can help you navigate this transition smoothly.

Download our FREE mobile app to get more of the following

Over 7,000+ HSA eligible items for sale.
Check on product HSA (Health Savings Account) eligibility
Get price update notifications
And more!

Did you find this page useful?

Subscribe to our Newsletter