Can I use my spouse's HSA if I am on Medicare?

Asked by: Mrs. Audrey Quitzon PhD  |  Last update: August 28, 2023
Score: 4.9/5 (14 votes)

Yes, if they are otherwise HSA-eligible. Individuals don't have to be the medical plan subscriber to be HSA-eligible. You or your spouse can then make tax-deductible contributions into their account, up to the family maximum if you remain covered on a family contract (even only if they are HSA-eligible).

Can I use my HSA for my husband who 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.

Is there a penalty for HSA contributions while on Medicare?

Your contributions after you're enrolled in Medicare might be considered “excess” by the IRS. Excess contributions will be taxed an additional 6% when you withdraw them. You'll pay back taxes plus an additional 10% tax if you enroll in Medicare during your HSA testing period.

Why can't Medicare recipients have an HSA?

If you enroll in Medicare Part A and/or B, you can no longer contribute pre-tax dollars to your HSA. This is because to contribute pre-tax dollars to an HSA you cannot have any health insurance other than an HDHP.

What is the 6 month rule for Medicare and HSA?

Under current regulations, individuals who apply for Medicare Part A or Part B after reaching age 65 are automatically given six months of retroactive health coverage, which invalidates their ability to make or receive HSA contributions for any of those months they were deemed to be covered.

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What happens to an HSA at age 65?

At age 65, you can take penalty-free distributions from the HSA for any reason. However, in order to be both tax-free and penalty-free the distribution must be for a qualified medical expense. Withdrawals made for other purposes will be subject to ordinary income taxes.

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.

Do HSA contributions reduce Social Security benefits?

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

When should I stop contributing to my HSA?

3 times it's okay to stop funding your HSA
  1. Your financial situation has changed. ...
  2. You're getting close to age 65 or you're no longer eligible. ...
  3. You've hit the max contribution limit.

Can my spouse use my HSA after I retire?

Of course! For one, you and your spouse can make use of an HSAs triple-tax-advantages. Since you can claim medical expenses at any time after your HSA was established, you can pay them or reimburse yourself with HSA funds from either of your accounts at any time.

What can I use my HSA for after age 65?

Your HSA as a retirement account

By using your HSA funds after age 65 for medical expenses, Medicare premiums, or long-term care expenses/insurance, you can continue to avoid taxes altogether. Once you turn 65, you can also choose to treat your HSA like a retirement account!

Is it better to leave money in HSA?

If you don't spend the money in your account, it will carryover year after year. Your HSA can be used now, next year or even when you're retired. Saving in your HSA can help you plan for health expenses you anticipate in the coming years, such as laser eye surgery, braces for your child, or paying Medicare premiums.

Can you contribute to an HSA if you are no longer employed?

∎ Can I contribute to an HSA even if I'm not employed: You do not have to have a job or earned income from employment to be eligible for an HSA – in other words, the money can be from your own personal savings, income from dividends, unemployment, etc.

Can you collect Social Security and have an HSA?

Enrolled: If you have applied for, or are receiving, Social Security Benefits – which automatically entitles you to Part A – you cannot continue to contribute to an HSA. You can continue to withdraw any remaining funds in your account.

What are the negatives of an HSA account?

The main downside of an HSA is that you must have a high-deductible health insurance plan to get one. A health insurance deductible is the amount of money you must pay out of pocket each year before your insurance plan benefits begin.

Do I lose my HSA when I retire?

When retiring early you can continue contributing to an HSA as long as you meet the requirements: You are not yet enrolled in Medicare. You're covered on a high-deductible health plan. You're not someone's tax dependent.

How much can a 63 year old contribute to an HSA?

As in prior years, HSA account owners aged 55 and older may contribute an additional $1,000 over the standard annual limit. For 2024, that means account owners with individual coverage may contribute $4,150 plus an additional $1,000, whereas those with family coverage may contribute $8,300 plus $1,000.

What happens to unused HSA funds after death?

ANSWER: Upon the death of an HSA account holder, any amounts remaining in the HSA transfer to the beneficiary named in the HSA beneficiary designation form. (If a beneficiary is not named, the funds transfer according to the terms of the HSA trust or custodial account agreement.)

Can you withdraw from HSA for non medical expenses after age 65?

HSAs After 65

Once you are enrolled in Medicare (which for many is at age 65), you are no longer eligible to make Health Savings Account contributions. You also can not roll any money from your IRA to your HSA. You also are able to use your HSA for non-qualified expenses without penalty.

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.

Can you contribute to an HSA if you have no earned income?

May not be claimed as a dependent on another individual's tax return. Eligibility to contribute to an HSA does not depend upon your income (no limits) or the amount of earned income (i.e., you don't have to be working). An uninsured individual is not eligible to contribute to an HSA.

Can you use HSA to pay insurance premiums?

Generally, HSAs cannot be used to pay private health insurance premiums, but there are 2 exceptions: paying for health care coverage purchased through an employer-sponsored plan under COBRA, and paying premiums while receiving unemployment compensation.

What to do with HSA when you leave a company?

If the person leaves their job, the HSA (and any money in it) goes with the employee. They are free to continue using the money for medical expenses and/or move it to another HSA custodian.

Should I pay out of pocket or use HSA?

Remember, unlikeflexible spending accounts, HSAs donotrequire you to use up your balance every year. Those funds can be carried forward as long as you like, so if you're able to cover your healthcare expenses out of pocket, it's best to leave that money alone and let it grow.

Can I use my HSA for glasses?

Yes! You can definitely use funds from your flexible spending account (FSA) or health savings account (HSA) to purchase prescription glasses. (FSAs and HSAs can be used for many other vision- and eye health-related expenses, too, but we'll discuss that more in a bit.)