What If I Have an Employer HSA Plan but Also on Medicare?

Having an employer HSA plan while also being on Medicare can create some confusion, but it's important to understand how these two benefits can work together.

When you have an employer-provided Health Savings Account (HSA) plan and are also enrolled in Medicare, there are a few key points to keep in mind:

  • Medicare Part A coverage automatically starts once you turn 65, so you can still contribute to your HSA if you're enrolled in Medicare Part A only.
  • If you're enrolled in any other Medicare parts (B, C, or D), you are no longer eligible to contribute to an HSA, but you can still use the funds in your existing HSA for qualified medical expenses.
  • Even if you can't contribute to your HSA while on other parts of Medicare, having an HSA can still be beneficial as it allows you to save pre-tax dollars for medical expenses.

It's essential to review your healthcare coverage options carefully to make the most of both your employer HSA plan and Medicare benefits.


Having an employer HSA plan while you are also on Medicare might seem confusing at first, but it can actually offer you strategic benefits. Knowing how these two programs interact can help you maximize your healthcare savings.

For instance, when enrolled in Medicare Part A, you can still contribute to your HSA for a limited period. However, once you enroll in Medicare Parts B, C, or D, your eligibility to make new HSA contributions ends.

That said, any funds already accumulated in your HSA remain available to cover qualified medical expenses tax-free, providing peace of mind for ongoing healthcare costs.

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