What Happens to My HSA Balance When I Go on Medicare?

Health Savings Accounts (HSAs) are a valuable tool for saving money for medical expenses while also enjoying tax benefits. However, many people wonder what happens to their HSA balance when they transition to Medicare, the federal health insurance program for individuals aged 65 and older. Let's explore how your HSA balance is affected when you enroll in Medicare:

1. You Can Still Use Your HSA Funds

Even after enrolling in Medicare, you can continue to use your HSA funds to pay for qualified medical expenses. This includes expenses such as deductibles, copayments, and coinsurance not covered by Medicare.

2. No More HSA Contributions

Once you enroll in Medicare, you are no longer eligible to contribute to your HSA. However, you can still use the funds that are already in your account.

3. Penalties for Non-Qualified Expenses

If you use your HSA funds for non-qualified expenses after enrolling in Medicare, you may be subject to income tax and a 20% penalty. It's important to be aware of the eligible expenses to avoid any penalties.

4. Use HSA for Medicare Premiums

You can use your HSA funds to pay for certain Medicare premiums, such as Part B, Part D, and Medicare Advantage premiums. This can be a tax-efficient way to cover these costs.

Overall, your HSA balance remains yours even after transitioning to Medicare. By understanding the rules and guidelines regarding HSAs and Medicare, you can make informed decisions about using your funds effectively for healthcare costs.


When you transition to Medicare, many individuals have questions about their Health Savings Account (HSA) and how it impacts their finances. The good news is, despite joining Medicare, you can still utilize the funds within your HSA for various medical expenses related to your well-being.

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