What to Do with HSA Once You Turn 65

As you approach the age of 65, you might be wondering what to do with your HSA (Health Savings Account) once you become eligible for Medicare. Here's a guide to help you navigate through this new chapter in your healthcare planning.

When you turn 65, you have several options regarding your HSA:

  • You can continue using your HSA funds tax-free for qualified medical expenses, such as deductibles, co-pays, and other out-of-pocket costs.
  • If you enroll in Medicare, you can no longer contribute to your HSA, but you can still use the existing funds for medical expenses.
  • You can use your HSA funds for non-medical expenses, but these withdrawals will be subject to income tax without any penalty once you reach 65.
  • Consider using your HSA as a retirement savings vehicle by utilizing it for long-term care insurance premiums or paying for Medicare premiums, copays, and deductibles.
  • Consult with a financial advisor to explore the best options for maximizing your HSA benefits in retirement.

Overall, your HSA can continue to provide financial flexibility and tax advantages even after you turn 65, but it's essential to understand the rules and make informed decisions.


As you reach the milestone age of 65, it's only natural to reassess your Health Savings Account (HSA) and consider how it fits into your financial and healthcare plan. The decisions you make now can significantly impact your future healthcare expenses.

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