What Is the IRS Penalty for Contributing to HSA While Receiving Medicare Benefits?

As more people become aware of the benefits of Health Savings Accounts (HSAs), questions about regulations and penalties may arise. One common concern is whether contributing to an HSA while receiving Medicare benefits can lead to IRS penalties.

It is important to note that once an individual enrolls in Medicare, they are no longer eligible to contribute to an HSA. This is because Medicare coverage is considered disqualifying health coverage under IRS rules, and individuals with disqualifying coverage cannot make HSA contributions without facing penalties.

The IRS penalty for contributing to an HSA while receiving Medicare benefits is severe, with potential repercussions including:

  • Penalties of up to 6% of the excess contribution amount
  • Additional income tax on the excess contribution
  • Being required to withdraw the excess contribution to avoid further penalties

It is crucial for individuals who are enrolled in Medicare to be aware of these rules and avoid contributing to their HSA to prevent IRS penalties. If you have inadvertently made contributions to your HSA while on Medicare, it is advisable to seek guidance from a tax professional to rectify the situation and minimize potential penalties.


Confusion can arise when it comes to Health Savings Accounts (HSAs) and Medicare benefits, especially concerning what happens if you contribute while enrolled in Medicare. It’s essential to understand that once you start receiving Medicare benefits, you are no longer allowed to make contributions to your HSA, as this could lead to substantial IRS penalties.

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