Can you have both HSA and regular insurance?

Asked by: Orland Spencer  |  Last update: October 8, 2023
Score: 4.1/5 (2 votes)

For now, the issue is that the HDHP/HSA concept is rooted in the idea that patients will be spending their own money pre-deductible. To make that work, the IRS doesn't allow people to have any other non-HDHP medical coverage in addition to the HDHP.

Can you have an HSA and regular health insurance?

While you can use the funds in an HSA at any time to pay for qualified medical expenses, you may contribute to an HSA only if you have a High Deductible Health Plan (HDHP) — generally a health plan (including a Marketplace plan) that only covers preventive services before the deductible.

Can you have both PPO and HSA?

Yes—you can use an HSA with a PPO. But not with just any PPO. Since an HSA isn't actually a type of health insurance, HSAs provide the flexibility to be integrated with any HSA-eligible high-deductible health plan (HDHP). As long as your PPO is an HSA-eligible HDHP, you can use an HSA with the PPO without issue.

Can I have an HSA and still be on my parents insurance?

When the Affordable Care Act (2010), went into effect it included a provision that children be allowed to remain on their parent's health insurance plan until the age of 26. This created a unique HSA provision that allowed those individuals to open an HSA (and contribute) as long as they are no longer a tax dependent.

What is the penalty for having an HSA and Medicare?

However, if you save to an HSA while you're enrolled in Medicare, you may be hit with IRS penalties on what are considered “excess contributions,” including a 6% excise tax charge. This applies to the six-month look-back period for HSA contributions when you sign up for Medicare past age 65.

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Do I lose my HSA when I go on Medicare?

Yes. If you are eligible for Medicare but do not actually enroll, you can continue to contribute to your HSA. Once you enroll in any part of Medicare, you will no longer be eligible to contribute to your HSA. Even enrolling in Part A alone will disqualify you from depositing to your HSA.

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.

Can I use my husbands HSA if I am not on his insurance?

The IRS allows you to use your HSA to pay for eligible expenses for your spouse, children or anyone who is listed as a dependent on your tax return. That's true whether you have individual coverage or family coverage with an HSA through your health plan.

Can I use my HSA funds for my family members although I only have insurance coverage for myself?

Yes, as long as you use the funds to pay for qualified medical expenses, you can pay for any family member who is a tax dependent on your tax return. You may also use the funds for medical expenses incurred by your child who is claimed as a tax dependent by their other parent.

Can I have secondary insurance with HDHP?

The individual generally cannot be covered under a nonHDHP. There are, however, other types of coverage that individuals may have in addition to an HDHP—including coverage for accidents, disability, dental care, vision care, and long-term care.

Should I max out my HSA?

Maxing out your HSA each year easily allows your funds to grow over time. Unlike regular savings accounts, an HSA allows you to invest funds in stocks, bonds, and mutual funds.

Is it better to be on an HSA or a PPO?

Advantages include low premiums and the option of opening an HSA to save for medical procedures that encompass those not covered by your medical insurance. A PPO, especially one with a low deductible, may suit those who expect frequent doctor visits and prescriptions due to something like a chronic condition.

Why can't I have an HSA with a PPO?

An HSA is different from the plan types of PPO, HMO or EPO. Any of these plan types can be an HSA eligible plan. So, you can get a PPO that is also HSA eligible, but not every HSA eligible plan is a PPO, and PPOs aren't available in every state. HSA eligible plans are available in pretty much every state.

What disqualifies you from having an HSA?

If you enroll in Social Security you will be automatically enrolled in Medicare Part A, which will disqualify you from contributing to an HSA. You can delay enrollment in Medicare Part A only if you delay taking Social Security. You can delay taking Social Security up until age 70 and one half years old.

Can you use HSA for gym membership?

Physical therapy is an approved medical expense. Can I use my HSA for a gym membership? Typically no. Unless you have a letter from your doctor stating that the membership is necessary to treat an injury or underlying health condition, such as obesity, a gym membership isn't a qualifying medical expense.

Can I use my HSA for dental?

You can also use HSAs to help pay for dental care. While dental insurance can help cover costs, an HSA can also help cover any out-of-pocket expenses resulting from dental care and procedures.

How do I know if my HSA is self only or family?

While often referred to as a “Family HSA” account, there is actually no such thing. Each HSA is owned by one person. But family coverage under a qualifying HDHP allows you to use your HSA to pay for qualifying medical expenses for yourself and your family.

Can I use my HSA for my dog?

HSA funds can't be used to pay for a normal pet's veterinary care, prescriptions, or other medical expenses. However, HSAs can be used to pay for healthcare costs for service animals, because those expenses are related to people's disabilities.

Can I use my HSA for my pregnant girlfriend?

You can use it on anyone in your tax family.

You can use your HSA to cover your or your spouse's delivery costs, as well as future expenses of the child. HSA funds can be used on anyone within your tax family. This stays true even if the account holder does not cover a dependent under his or her health plan.

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.)

Can I use my HSA for Lasik?

In a word – yes! With a tax-free Health Savings Account (HSA) or Flexible Spending Account (FSA), you can pay for your LASIK surgery with pre-tax dollars, which could mean a 20-30% discount for those who are eligible.

Should I use HSA to pay Medicare premiums?

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 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.

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 can I use my HSA for after age 65?

4. Pay for other expenses Once you hit 65, you can use your HSA to pay for any nonqualified medical expenses (including buying a boat, for example), but you don't get to take full advantage of the tax savings as you will be required to pay state and federal taxes on those distributions.