Do you pay taxes on HSA funds after 65?

Asked by: Prof. Rozella Pollich Sr.  |  Last update: August 10, 2023
Score: 5/5 (65 votes)

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 is HSA taxed after 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!

Is HSA tax free after retirement?

HSA Withdrawals

After age 65 you can withdraw money from an HSA for any reason without incurring a penalty. However, if you spend the money on non-medical expenses you will have to pay taxes on your withdrawals in the same manner that you would with an IRA or a 401(k) plan.

Can I max out my HSA in the year I turn 65?

Loss of Eligibility in Month You Turn 65.

She is no longer eligible to contribute to her HSA as of July 1. Her maximum contribution for that year would be 6/12 (she was eligible the first 6 months of the year) times the applicable federal limit (remember to include the catch-up amount).

How do I avoid taxes on my HSA withdrawals?

Using your HSA in retirement – No penalty

If the HSA dollars are spent on eligible expenses, such as Medicare premiums or other healthcare needs, then those withdrawals are not subject to taxes (same as pre-retirement).

Health Savings Account (HSA) Withdrawal After Age 65 in Retirement - Tax Free!

28 related questions found

Why am I being taxed on HSA distributions?

If you're under 65 and use the funds for other purposes, that money becomes taxable income, and you could face an additional 20% tax on the nonmedical use of HSA money. Once you turn 65, you can use HSA money for anything, but you'll owe tax on withdrawals that aren't used to pay medical expenses.

Do HSA withdrawals count as income?

None of the money received from these plans is taxable if it is spent on "qualified" medical expenses. If the money you withdraw exceeds your qualified medical expenses, however, the excess is subject to income tax.

What happens to my HSA when I go on Medicare?

Can I spend from my HSA if I'm enrolled in Medicare? Yes. Even if enrolled in Medicare, you may keep an HSA if it was in existence prior to Medicare enrollment. You can spend from your HSA to help pay for medical expenses, such as deductibles, premiums, copayments, and coinsurances.

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.

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.

Does HSA avoid Social Security tax?

HSAs are considered a unique savings vehicle since it's one of the only tax-advantaged accounts that offers financial benefits to both employees and employers. Companies that offer HSAs don't have to pay FICA taxes on any pre-tax contributions from the employer or the employee.

Should I use HSA as retirement account?

Saving in an HSA for retirement gives you a tax-advantaged account dedicated to future medical expenses — allowing you the opportunity to avoid dipping into retirement accounts intended for cost-of-living expenses. Also, HSAs are a great way to pay for qualified medical expenses in retirement.

Can you contribute to HSA while on Social Security?

However, if they elect to begin receiving Social Security retirement benefits, enrollment in Medicare Part A coverage is automatic and mandatory. Once that coverage begins, the person is no longer permitted to continue HSA contributions.

What happens if you don't use HSA money?

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.

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.

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.

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.

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.

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

Yes, being eligible to contribute to the HSA is determined by the status of the HSA account holder not the dependents of the account holder. Your spouse being on Medicare does not disqualify you from continuing contributions to the HSA up to the family limit, even if they are also covered by the HDHP.

Do HSA contributions reduce Medicare tax?

Your contributions to an employee's health savings account (HSA) or Archer medical savings account (MSA) aren't subject to social security, Medicare, or FUTA taxes, or federal income tax withholding if it is reasonable to believe at the time of payment of the contributions they'll be excludable from the income of the ...

Do I need to report my HSA on taxes?

Tax reporting is required if you have a Health Savings Account (HSA). You may be required to complete IRS Form 8889. HSA Bank provides you with the information and resources to assist you in completing IRS Form 8889 regarding your HSA.

Does the IRS check your HSA?

Verification of expenses is not required for HSAs. However, total withdrawals from your HSA are reported to the IRS on Form 1099-SA. You are responsible for reporting qualified and non-qualified withdrawals when completing your taxes.

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.

Do you get tax benefits with HSA vs 401k?

Comparing HSAs and 401(k)s

The triple-tax-free aspect of an HSA makes it better for tax management than a 401(k). However, since HSA withdrawals can only be used for healthcare costs, the 401(k) is a more flexible retirement savings tool. The fact that an HSA has no RMD gives it more flexibility than a 401(k).

Why HSA is the best retirement account?

Unlike other types of tax-advantaged retirement accounts, HSA contributions and investment earnings are never taxed, provided you follow the rules when withdrawing from the account. That means you avoid paying income tax on your withdrawals, which, at current rates, is at least 10%.