Can you be on Medicare and have a flexible spending account?

Asked by: Jermaine Beahan  |  Last update: September 27, 2023
Score: 4.3/5 (13 votes)

… when you become eligible for Medicare and keep your employer-sponsored insurance, you can continue contributing to and using your FSA in that calendar year

Can you contribute to a flexible spending account while on Medicare?

In terms of other health coverage, you cannot have a flexible spending account (FSA) or health reimbursement arrangement (HRA). You also cannot be enrolled in Medicare at the time you open a plan, although you can continue to use one, as you will read below.

What is ineligible for flexible spending account?

These items include antacids, allergy medicine, pain relievers, cold medicine, feminine products and more. Any item that is purchased to maintain good health and not to treat or alleviate an illness or injury is not reimbursable.

Can a retiree have a flexible spending account?

By IRS law, annuitants cannot participate in flexible spending accounts. FSAs are a salary benefit and an annuity is not salary. You can enroll for next year and participate in FSAFEDS until the date of your retirement.

Can you contribute to an FSA after age 65?

Will I be able to continue my FSAFEDs account after retirement? By law, annuitants (other than reemployed annuitants) cannot participate in any flexible spending account (FSA) programs, including FSAFEDS. FSAs are a way of setting aside pre-tax salary for reimbursement of eligible expenses.

Your flexible spending account: What can you get and when does it expire?

25 related questions found

Can I contribute to my HSA on the same year that I turn 65?

You can make an HSA contribution after you turn 65 and enroll in Medicare, if you have not maximized your contribution for your last year of HSA eligibility. You have until April 15 of the year following the tax year you lose HSA eligibility to make your HSA contribution.

What happens when an HSA holder who is 65 years old decides to use the money in the account?

Once you are 65, you can withdraw funds for any reason without paying a penalty, but they will be subject to ordinary income tax. For any reason, but if you are under age 65 and use your HSA funds for nonqualified expenses, you will need to pay taxes on the money you withdraw, as well as an additional 20% penalty.

What happens to flexible spending account when retired?

What happens to your FSA funds when you retire? In short, you will be reimbursed for any eligible expenses incurred before the date of your retirement. Any remaining funds in the account must be forfeited back to your employer.

What is the rule for flexible spending account?

Facts about Flexible Spending Accounts (FSA)

You can spend FSA funds to pay deductibles and copayments, but not for insurance premiums. You can spend FSA funds on prescription medications, as well as over-the-counter medicines with a doctor's prescription. Reimbursements for insulin are allowed without a prescription.

Are flexible spending accounts subject to Social Security tax?

However, FSAs are tax-free from the first dollar. You do not have to meet the 10 percent AGI minimum before receiving the deduction. Further, money set aside through an FSA is also exempt from FICA (Social Security and Medicare) taxes. This exemption is not available on your federal income tax return.

How much can you carry over on flexible spending account?

The Internal Revenue Service has upped the contribution limit on flexible spending accounts to $3,050, allowing 20% of that amount, or $610, to carry over from 2023 into 2024.

What happens if you use all your FSA money?

If I contribute $2,500 for the year and only use $1,500, what happens to the remaining $1000? The IRS created the "use or lose" rule, which states that all money left in your FSA is forfeited after the benefit period ends.

How do I get money off my Flex spending card?

You can't withdraw money from an ATM

One of those is that the money can only be spent on FSA-eligible expenses. The easiest way to be sure your purchases are eligible is to shop at a store that exclusively sell FSA-eligible items (hint: FSAstore.com).

Is there a penalty for having an HSA with Medicare?

What are the consequences of contributing funds to my HSA while enrolled in Medicare? Medicare beneficiaries who continue to contribute funds to a HSA may face IRS penalties including payment of back taxes on their tax-free contributions and account interest, excise taxes and additional income taxes.

What is the 6 month rule for Medicare and HSA?

This is because when you enroll in Medicare Part A, you receive up to six months of retroactive coverage, not going back farther than your initial month of eligibility. If you do not stop HSA contributions at least six months before Medicare enrollment, you may incur a tax penalty.

Can I use my Flex card for groceries?

A major source of confusion around the Medicare Flex Cards is whether you can purchase food with them or not. In short, you can use the card to pay for groceries.

Does a flexible spending account reduce taxable income?

Tax savings for flexible spending accounts

Since the money used to fund your FSA is pretax—taken from your paycheck to reduce your taxable income—you save whatever percentage you would have paid on that money in federal taxes.

Is it good to have a flexible spending account?

Contributing to an FSA will lower your take-home pay, but it will also lower the amount withheld for taxes—and you'll have money ready to be used for healthcare expenses when you need it.

What is the flexible spending account limit for 2023?

The IRS has increased the Flexible Spending Account (FSA) contribution limits for the Health Care Flexible Spending Account (HCFSA) and the Limited Expense Health Care FSA (LEX HCFSA). For 2023, participants may contribute up to an annual maximum of $3,050 for a HCFSA or LEX HCFSA.

Who benefits from a Flexible Spending Account?

A Flexible Spending Account is an employee benefit that allows you to set aside money from your paycheck, pre-tax, to pay for healthcare and dependent care expenses. Unlike a Health Savings Account (HSA), an FSA is not administered by your health insurance.

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.

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

When should I stop contributing to my HSA? If you haven't yet enrolled in Medicare and have an HSA-eligible insurance policy, you can contribute at any time. However, after you sign up for Medicare, you can't make new contributions nor can your employer add to your HSA.

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.)

What age 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.

What is the maximum HSA contribution in the year I turn 65?

2023 HSA contribution limits

The HSA contribution limits for 2023 are $3,850 for self-only coverage and $7,750 for family coverage. Those 55 and older can contribute an additional $1,000 as a catch-up contribution.