Can you have an FSA and Medicare at the same time?

Asked by: Katlyn Jast  |  Last update: August 4, 2023
Score: 5/5 (6 votes)

Medicare premiums are eligible for reimbursement with a health savings account (HSA), or a health reimbursement arrangement (HRA). Medicare premiums are not eligible with a flexible spending account (FSA), a dependent care flexible spending account (DCFSA), or a limited-purpose flexible spending account (LPFSA).

Can I have an FSA if 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.

Can I use FSA for spouse on Medicare?

You can use funds from your Healthcare FSA to pay for eligible medical costs for both your spouse and tax dependents, regardless of the medical insurance in which they are enrolled.

Can you have insurance and an FSA?

FSA holders cannot count insurance premiums as FSA-eligible. Health reimbursement arrangement (HRA) and health savings account (HSA) holders have more options. Business-sponsored accounts HRAs may be underwritten to cover health insurance premiums, but that's left up to the employer.

Can I have an HSA and Medicare at the same time?

Can You Have a Health Savings Account (HSA) and Medicare? Once you enroll in Medicare, you're no longer eligible to contribute funds to an HSA. However, you can use existing money in an HSA to pay for some Medicare costs. You'll receive a tax penalty on any money you contribute to an HSA once you enroll in Medicare.

What is an FSA (Flexible Spending Account?)

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What happens to my HSA account when I go on Medicare?

Although you can't make any more contributions to your HSA once you're enrolled in Medicare, your HSA will continue to provide tax-free funds to cover medical costs until you use up all the money in your account. You also have the option to use your HSA funds as a regular retirement account after you turn 65.

When should I stop contributing to my HSA before Medicare?

There is a six-month lookback period (but not before the month of reaching age 65) when enrolling in Medicare after age 65, so a best practice is for workers to stop contributing to their HSA six months before enrolling in Medicare to avoid penalties.

What happens to my FSA when I retire?

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.

Can you use FSA for dental?

According to the Internal Revenue Service Publication 752, an individual can use their FSA coverage for all dental procedures that treat or prevents a dental disease such as: Teeth cleaning. Root canals. Dental fillings.

Are vitamins FSA eligible?

Vitamins or nutritional supplements (herbal or natural medicines) will not qualify as FSA-eligible if used to maintain general good health. In narrow circumstances vitamins recommended by a medical practitioner to treat a medical condition may be eligible with a Letter of Medical Necessity (LMN).

Can I pay last year's medical bills with this year's FSA?

Can You Use 2021 FSA Funds for Prior Year Expenses? No. You must incur expenses during the current plan year.

Who Cannot participate in an FSA?

Can owners or partners participate in an FSA? No. According to IRS guidelines, anyone with two percent or more ownership in a schedule S corporation, LLC, LLP, PC, sole proprietorship, or partnership may not participate.

Can I use 2021 FSA funds for 2022 expenses?

You may spend remaining dollars in any 2021 FSA account (Health Care, Dependent Care, Limited FSA) until December 15, 2022. Find eligible expenses or check your FSA account balance. If you elected an FSA for 2022, the spending grace period will go back to March 15, 2023.

What is a flex card for seniors on Medicare?

What is a Medicare Flex Card? Flex cards are debit cards beneficiaries can use to purchase medical equipment and items. Typically linked to a flexible spending account, these cards are a benefit linked to qualifying health plans throughout the nation.

Do I have to report my FSA on my taxes?

If I participated in a Health Care FSA, do I need to report anything on my personal income tax return at the end of the year? No. There are no reporting requirements for Health Care FSAs on your income tax return.

What is Medicare FSA?

An arrangement through your employer that lets you pay for many out-of-pocket medical expenses with tax-free dollars. Allowed expenses include insurance copayments and deductibles, qualified prescription drugs, insulin, and medical devices.

Can FSA be used for eyeglasses?

An FSA or HSA can be used to pay for the following types of eyewear: Prescription eyeglasses, including reading glasses, progressive multifocals and bifocals. Eyeglass frames (without lenses)

Can you use FSA for electric toothbrush?

Electric toothbrushes are not eligible for reimbursement with flexible spending accounts (FSA), health savings accounts (HSA), health reimbursement accounts (HRA), dependent care flexible spending accounts, and limited-purpose flexible spending accounts (LPFSA) because they are general health products.

Can you buy toothpaste with FSA?

Dental procedures.

But general tooth-health products, such as toothbrushes, toothpaste and floss, are not usually not eligible to purchase with FSA funds.

Can you have an FSA after 65?

After retirement, you are no longer eligible to make contributions to an HSA. Health FSA—grace period. Coverage during a grace period by a general purpose health FSA is allowed if the balance in the health FSA at the end of its prior year plan is zero.

How long do I have to use my FSA after termination?

Once your employment ends, you won't be able to spend your FSA funds, but you do have 90 days to submit claims for FSA-eligible expenses that you incurred while employed and during the current plan year. The Flexible Spending Account app will still appear on your dashboard in order for you to submit claims.

Can I still use my FSA after termination 2022?

Any unused money in your FSA goes back to your employer once you leave your job. If you have a healthcare FSA, you could have the option to continue access to your funds through COBRA. But you can't use your FSA contributions to pay for health insurance premiums either through COBRA or in the private market.

Can I still get employer HSA contributions if I enroll in Medicare Part A?

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.

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

The IRS annual contribution limits for HSAs for 2021 is $3,600 for individual coverage and $7,200 for family coverage. Individuals age 55+ can contribute an additional $1,000 per year as a “catch-up” contribution. These limits are based on inflation, and generally increase by moderate amounts every year.

Do I have to stop contributing to my HSA when I turn 65?

Can I contribute to my HSA if I am age 65 and covered under an HDHP? Yes, you can contribute to your HSA as long as you are an eligible individual and have not enrolled in Medicare Part A, B, or D. Once you enroll in Medicare you may no longer contribute to your HSA.