What is the Penalty for Having an HSA and Medicare?

Having both an HSA and Medicare can be a great way to manage your healthcare costs, but it's essential to understand the rules and potential penalties that come with this combination.

Generally, there is no penalty for having both an HSA and Medicare. However, there are specific conditions you need to meet to avoid any penalties:

  • Ensure you are only enrolled in a high-deductible health plan (HDHP) if contributing to an HSA.
  • Stop contributing to your HSA six months before enrolling in Medicare to avoid tax penalties.
  • Use your HSA funds for qualified medical expenses to prevent any tax issues.

It's crucial to stay informed about the requirements and regulations surrounding HSAs and Medicare to avoid any unnecessary penalties. By following the guidelines and planning ahead, you can make the most of both healthcare savings options.


Understanding how to navigate having both an HSA and Medicare can not only help in managing your healthcare costs but also provide peace of mind. While generally, there are no penalties associated with having both, it’s important to consider some specific guidelines.

If you're contributing to an HSA, ensure your enrollment is limited to a high-deductible health plan (HDHP). Additionally, it’s advisable to cease contributions to your HSA at least six months prior to enrolling in Medicare to sidestep potential tax penalties. Finally, always remember to utilize your HSA funds for qualified medical expenses to keep any tax issues at bay.

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