What Happens to My HSA Balance When I No Longer Have an Eligible Insurance Plan?

Having a Health Savings Account (HSA) is a great way to save money for medical expenses while enjoying tax benefits. But what happens to your HSA balance if you no longer have an eligible insurance plan?

When you are no longer covered by a High Deductible Health Plan (HDHP), which is the only type of insurance plan that allows you to contribute to an HSA, there are a few things that can happen to your HSA balance:

  1. If you switch to a non-HDHP: You can still use the funds in your HSA to pay for qualified medical expenses tax-free. However, you will not be able to make any further contributions to your HSA until you are covered by an HDHP again.
  2. If you enroll in Medicare: Once you enroll in Medicare, you are no longer eligible to contribute to an HSA. You can still use the funds in your HSA for medical expenses, but you cannot make any new contributions.
  3. If you no longer have any health insurance: If you lose your insurance coverage altogether, you can still use the funds in your HSA for medical expenses. However, you will not be able to make any new contributions until you have another HDHP.

It's important to note that even if you can no longer contribute to your HSA, the funds in your account remain yours to use for qualified medical expenses at any time. Your HSA balance does not expire or disappear just because your insurance situation changes.


Having a Health Savings Account (HSA) is not just a financial tool; it's a way to empower yourself to manage your healthcare costs. However, if you find yourself without an eligible insurance plan, it's crucial to understand how your HSA balance is affected.

Should you find yourself switching from a High Deductible Health Plan (HDHP) to a non-HDHP, the good news is that your HSA funds remain accessible for qualified medical expenses. Just remember, contributions to your HSA are paused until you re-enroll in an HDHP.

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