Can I use my HSA to pay for Medicare premiums?

Asked by: Dr. Travis Windler II  |  Last update: September 5, 2023
Score: 4.3/5 (40 votes)

The good news: You can keep using your HSA funds
You can even use your HSA to pay for some Medicare expenses including your Medicare Part B, Part D and Medicare Advantage plan premiums, deductibles, copays and coinsurance. Note: HSA funds cannot be used to pay for Medigap premiums.

How does my HSA work with Medicare?

Can I enroll in an HSA if I am enrolled in Medicare? No. Once you enroll in Medicare Part A and/or B, you can no longer setup or contribute pre-tax dollars to an existing HSA. This is because to contribute pre-tax dollars to an HSA you cannot have any health insurance other than a HDHP.

Can I use my HSA to pay for Medicare Part A?

While you can use HSA funds to pay Medicare premiums, you cannot continue contributing to your HSA after enrolling in Medicare.

How much can I contribute to my HSA in the year I turn 65?

Your maximum contribution is determined by adjusting the HSA maximum in accordance with how many months of the year that you were eligible. For example, if you turn 65 in April, you were eligible for the first three months of the year. You can then contribute 3/12 of the HSA annual contribution maximum.

Why can't HSA be used for premiums?

Generally, you cannot treat insurance premiums as qualified medical expenses unless the premiums are for: Long-term care insurance, subject to IRS mandated limits based on age and adjusted annually (see IRS Publication 502: Long-Term Care).

Using an HSA to pay Medicare Costs (Avoid This Mistake!)

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What premiums can you pay with HSA?

You can only use your HSA to pay health insurance premiums if you are collecting federal or state unemployment benefits, or you have COBRA coverage through a former employer.

What premiums can I use my HSA for?

An individual can make a qualified HSA distribution for the following insurance premiums:
  • Health plan coverage while receiving federal or state unemployment benefits.
  • COBRA premiums.
  • Medicare premiums (Part A, B, C or D. ...
  • Premiums for qualified, long term care insurance (dollar limits may apply).

When should I stop contributing to my HSA before Medicare?

If you apply after that time, you should plan to stop depositing funds to your HSA up to six months prior to signing up for Medicare because you could face penalties if you continue to contribute. Decide when you plan to retire and when you plan to sign up for Medicare; those may not be the same date.

How much can you contribute to an HSA the year you go on Medicare?

Can I have a health savings account and Medicare? Yes, but you can't contribute to a health savings account (HSA) after you enroll in Medicare. You can use money you've accumulated tax-free in an HSA for eligible medical expenses at any time.

When can you no longer contribute to HSA?

If you work beyond age 65 and defer Medicare, however, you will need to stop contributing to your HSA six months prior to receiving Social Security. Once you begin drawing Social Security after your full retirement age, you are required to have Medicare coverage and can no longer contribute to an HSA.

Is Medicare going up in 2023?

For 2023, the Part A deductible will be $1,600 per stay, an increase of $44 from 2022. For those people who have not worked long enough to qualify for premium-free Part A, the monthly premium will also rise. The full Part A premium will be $506 a month in 2023, a $7 increase.

How much will Part B go up in 2023?

The Centers for Medicare & Medicaid Services (CMS) has announced that the standard monthly Part B premium will be $164.90 in 2023, a decrease of $5.20 from $170.10 in 2022.

What is cost for Medicare Part B?

If you don't buy Part A when you're first eligible for Medicare (usually when you turn 65), you might pay a penalty. Most people pay the standard Part B monthly premium amount ($164.90 in 2023). Social Security will tell you the exact amount you'll pay for Part B in 2023.

Can my wife use my HSA if she is on Medicare?

Yes, you can pay for eligible expenses from your HSA for yourself or your tax dependents, even if the dependent is not covered under your medical plan and even if he or she has other coverage. This includes co-pays, deductibles, and other eligible expenses for which you will not be reimbursed elsewhere.

Can my spouse contribute to my HSA if I am on Medicare?

Yes, being eligible to contribute to the HSA is determined by the status of the HSA account holder not the dependents of the account holder. Your spouse being on Medicare does not disqualify you from continuing contributions to the HSA up to the family limit, even if they are also covered by the HDHP.

Does HSA affect Social Security?

HSAs can reduce taxable income in retirement, which may affect Medicare premiums and the portion of Social Security benefits subject to federal income tax.

Can you use your HSA as a retirement account?

In addition to using an HSA for medical expenses, it can also be used as another way to save for retirement. Once you reach age 65, money held in an HSA can be withdrawn and used for any reason, the only catch being that you'll pay ordinary income taxes on withdrawals not used for qualified medical expenses.

Should I use HSA before retirement?

You can use your HSA with other retirement accounts to maximize your after-tax retirement income. Saving in an HSA for retirement gives you a tax-advantaged account dedicated to future medical expenses — allowing you the opportunity to avoid dipping into retirement accounts intended for cost-of-living expenses.

Can you use HSA for monthly premiums?

HSA funds generally may not be used to pay premiums.

How much should I have in my HSA at retirement?

The Bottom Line. According to the Fidelity Retiree Health Care Cost Estimate, couples who retired at age 65 in 2021 could need roughly $300,000 in savings (after tax) to pay for healthcare expenses in their golden years. Contributing to an HSA can help you plan and save for these expenses.

Can you pay dental insurance premiums with HSA?

Dental insurance premiums are not eligible with a flexible spending account (FSA) and may be eligible with a health reimbursement arrangement (HRA) or health savings account (HSA).

What happens to my HSA when I retire?

20% tax penalty doesn't apply – Prior to retirement, using your HSA funds for non-medical expenses requires you to pay income tax plus a 20% penalty. After you turn 65 that 20% penalty no longer applies, allowing you to use your HSA funds however you want.

What is the average HSA balance?

The average HSA balance rose from $2,645 at the beginning of 2021 to $3,902 by the end of the year, the Washington, D.C.-based nonprofit independent research organization found in its analysis of its HSA database, which had information on 13.1 million HSAs in 2021.

How do you qualify to get $144 back from Medicare?

To qualify for the giveback, you must:
  1. Be enrolled in Medicare Parts A and B.
  2. Pay your own premiums (if a state or local program is covering your premiums, you're not eligible).
  3. Live in a service area of a plan that offers a Part B giveback.

Why do I pay so much for Medicare Part B?

If You Have a Higher Income

If you have higher income, you'll pay an additional premium amount for Medicare Part B and Medicare prescription drug coverage. We call the additional amount the “income-related monthly adjustment amount.” Here's how it works: Part B helps pay for your doctors' services and outpatient care.