Can you have an HSA with Medicare Part A?

Asked by: Reynold Johns Jr.  |  Last update: February 11, 2022
Score: 4.5/5 (59 votes)

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

HDHP
In the United States, a high-deductible health plan (HDHP) is a health insurance plan with lower premiums and higher deductibles than a traditional health plan. It is intended to incentivize consumer-driven healthcare.
https://en.wikipedia.org › wiki › High-deductible_health_plan
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Does Medicare Part A disqualify HSA contributions?

Medicare Part A eligibility alone does not disqualify an individual from contributing to an HSA. However, individuals cannot make HSA contributions for any month in which they are both eligible for and enrolled in Medicare (i.e., actually “entitled” to Medicare benefits).

What is the tax penalty for having an HSA and Medicare?

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

How much can you contribute to HSA in year you turn 65?

Excess Contributions

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.

What happens to my HSA 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.

Learn What Happens to Your HSA with Medicare

31 related questions found

What happens to my health savings account when I turn 65?

Once you turn 65, you can also choose to treat your HSA like a retirement account! If you withdraw money from your HSA for something other than qualified medical expenses before you turn 65, you have to pay income tax plus a 20% penalty. But after you turn 65, that 20% penalty no longer applies, so withdraw away!

What is the downside of an HSA?

What are some potential disadvantages to health savings accounts? Illness can be unpredictable, making it hard to accurately budget for health care expenses. Information about the cost and quality of medical care can be difficult to find. Some people find it challenging to set aside money to put into their HSAs .

Can I pay my Medicare supplement premium with my HSA?

A: You can still use your HSA funds if you have Medicare coverage. ... However, premiums for a Medicare supplemental policy, such as Medigap, are not eligible expenses. Reaching 65 years of age also enables you to use your funds for non-qualified medical expenses, including Medicare Supplements, with no penalties.

Can I have an HSA and receive Social Security?

If you have applied for or are receiving Social Security benefits, which automatically entitle you to Part A, you cannot continue to contribute to your HSA.

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

If you're enrolled in Medicare and have existing HSA funds, you can also use your HSA funds to pay for your Medicare premiums. ... And you can use your HSA funds to pay for eligible expenses for your spouse, even though he/she isn't HSA-eligible. However, you can't pay for your spouse's Medicare premiums until you turn 65.

Can you have a health savings account if you are retired?

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.

Should I get an HSA or HRA?

One of the most important differences between the two is that the employer owns the HRA and the employee owns the HSA. This means that the employee takes the HSA along when he or she changes jobs. If an employee with an HRA changes or loses his or her job, any remaining amount in an HRA defaults to the employer.

Is it better to have a PPO or HSA?

An HSA is an additional benefit for people with HDHP to save on medical costs. The PPO is a more flexible health insurance plan for people who have doctors and facilities they use that are out-of-network.

Are you automatically enrolled in Medicare at age 65?

Most people become eligible for Medicare when they turn 65. ... If you are receiving Social Security retirement benefits or Railroad Retirement benefits, you should be automatically enrolled in both Medicare Part A and Part B.

Does Medicare coverage start the month you turn 65?

The date your coverage starts depends on which month you sign up during your Initial Enrollment Period. ... If you qualify for Premium-free Part A: Your Part A coverage starts the month you turn 65. (If your birthday is on the first of the month, coverage starts the month before you turn 65.)

Is Medicare free at age 65?

You are eligible for premium-free Part A if you are age 65 or older and you or your spouse worked and paid Medicare taxes for at least 10 years. You can get Part A at age 65 without having to pay premiums if: You are receiving retirement benefits from Social Security or the Railroad Retirement Board.

What happens to HSA if you switch to PPO?

Q: What happens to my HSA if I leave my health plan or job? A: You own your account, so you keep your HSA, even if you change health insurance plans or jobs.

Why are HSA plans more expensive?

HSA-eligible plans also have to follow rules that hold down the amount the plans can require enrollees to spend on out-of-pocket costs. Because those "out-of-pocket limits" mean insurers can end up having to bear more health costs, they can push up premiums on HSA-eligible plans.

How much should you put in HSA?

As of 2017, you can contribute a maximum of $3,400 to an individual HSA or $6,750 to an HSA for your family, according to the IRS. If you're 55 or older, you get to contribute another $1,000 on top of that. It's important to note that there can't be joint owners on an HSA.

How much can I contribute to HSA 2021?

2021 HSA contribution limits have been announced

The maximum out-of-pocket has been capped at $7,000. An individual with family coverage under a qualifying high-deductible health plan (deductible not less than $2,800) can contribute up to $7,200 — up $100 from 2020 — for the year.

Who's eligible for an HSA?

HSA Eligibility

You must be covered under a qualifying high-deductible health plan (HDHP) on the first day of the month. You have no other health coverage except what is permitted by the IRS. You are not enrolled in Medicare, TRICARE or TRICARE for Life. You can't be claimed as a dependent on someone else's tax return.

Does HSA carry over year to year?

HSAs carry over from year to year and are portable if employment changes. The IRS sets the annual contribution limits and limits the types of health plans that qualify for an HSA. HSA funds can continue to be used for eligible medical expenses, even if you become ineligible to contribute in the future.

Can HSA be used for life insurance premiums?

Answer: You can use HSA money to pay premiums for an eligible long-term-care insurance policy, but the amount you can withdraw tax-free each year is based on your age at the end of the year. ... Life insurance policies that can also provide a long-term-care benefit don't qualify.

What should I do with my old HSA?

You are the owner of your HSA, which means you can take it with you when you leave your current job. Here are some important points to consider. If your new employer offers an HSA that you like better than your current account, you can roll the money in your old HSA into your new employer's plan.