What can I do with my HSA after age 65?

Asked by: Prof. Josh Bergstrom IV  |  Last update: September 22, 2022
Score: 4.7/5 (24 votes)

At age 65, you can withdraw your HSA funds for non-qualified expenses at any time although they are subject to regular income tax. You can avoid paying taxes by continuing to use the funds for qualified medical expenses.

What can you use your HSA for after age 65?

At age 65, you can use your HSA to pay for Medicare parts A, B, D and Medicare HMO premiums tax-free and penalty-free. You cannot use your HSA to pay for Medigap insurance premiums.

What age can you withdraw from HSA without penalty?

After you reach age 65 or if you become disabled, you can withdraw HSA funds without penalty but the amounts withdrawn will be taxable as ordinary income.

What do I do with my HSA after Medicare?

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. If you use the account for qualified medical expenses, it will continue to be tax-free.

Can you keep your HSA after retirement?

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.

Medicare’s Tricky Rules on HSAs After Age 65

25 related questions found

Can you convert an HSA to an IRA?

HSA funds can't be rolled over into an IRA account. There's also no reason to do so, because you preserve your right to use the funds tax-free for medical costs at any time with an HSA.

Do you have to pay taxes on HSA after 65?

At age 65, you can withdraw your HSA funds for non-qualified expenses at any time although they are subject to regular income tax. You can avoid paying taxes by continuing to use the funds for qualified medical expenses.

Do I lose my HSA when I go on Medicare?

Can I continue to contribute to my HSA once I'm enrolled in Medicare? No. You lose HSA eligibility once you enroll in Medicare, so you can't make additional contributions. You can contribute for months that you were eligible before you enrolled in Medicare.

Does HSA reduce Social Security benefits?

Generally, if you contribute to your HSA via pretax payroll deduction, then you avoid FICA taxes—such as the Social Security tax and Medicare tax—on those HSA pretax contributions.

Can I use HSA to pay for Medicare supplement?

After you turn 65, you can use HSA money tax-free to pay premiums for Medicare parts B and D and Medicare Advantage plans (but not premiums for Medicare supplement policies), in addition to paying for other out-of-pocket medical expenses.

How do I withdraw my HSA tax free?

You can submit a withdrawal request form to receive funds (cash) from your HSA. If the cash is used to pay for ineligible purchases, it must be reported when you're filing your taxes. Once it's reported, it's subject to an income tax and treated as though it had never been in your tax-free HSA.

Can you transfer money from HSA to checking?

Online Transfer – On HSA Bank's Member Website, you can transfer funds from your HSA to an external bank account, such as a personal checking or savings account. There is a daily transfer limit of $2,500 to safeguard against fraudulent activity.

Does the IRS monitor HSA accounts?

HSA spending may be subject to IRS audit.

Even if HSA funds were used for qualified medical expenses, the IRS may ask for proof that the funds were spent correctly. Because of this, it is a good idea to save receipts and keep careful records of how HSA funds are spent.

Can I transfer HSA to 401k?

You cannot roll over HSA funds into a 401(k). You also cannot roll over 401(k) money into an HSA.

What should I do with my old HSA?

Keep the HSA open

Or, you can simply keep the HSA you already have. There are no IRS fees or penalties for doing so. If you do keep your current HSA, you can withdraw funds for eligible expenses at any time. However, you can only contribute to your HSA if you're still enrolled in a high-deductible health plan.

How do I rollover my HSA?

An HSA rollover involves informing your current HSA provider that you intend to close the account and move your HSA to another provider. The provider will then cut you a check, and it's then your responsibility to get that money reinvested at your new HSA provider.

Can I buy vitamins with HSA?

Generally, weight-loss supplements, nutritional supplements, and vitamins are used for general health and are not qualified HSA expenses. HSA owners usually cannot include the cost of diet food or beverages in medical expenses because these substitute for what is normally consumed to satisfy nutritional needs.

Do I need to keep receipts for my HSA?

The IRS requires that you keep receipts for all your Health Savings Account (HSA) spending. HSA distributions (money taken from an HSA account) are nontaxable, but only when the money is used to pay for qualified medical expenses.

Can I buy groceries with my HSA card?

No, you can't use your Flexible Spending Account (FSA) or Health Savings Account (HSA) for straight food purchases like meat, produce and dairy. But you can use them for some nutrition-related products and services. To review, tax-advantaged accounts have regulatory restrictions on eligible products and services.

Can you use HSA for life insurance premiums?

Expenses NOT Eligible for under an HSA

The following are expenses that are often mistaken as qualified HSA expenses, but are NOT eligible: Health insurance premiums other than those listed above, including Medicare Supplement, Medicare Part D Rx Plans, and Medigap policies. Life insurance or income protective policies.

Can I use HSA funds to pay for long term care premiums?

If you and your spouse both have long-term care policies, you can each use money tax-free from your HSA to pay premiums, up to the aged-based maximum for each of you (based on your ages at the end of the year). These limits increase slightly each year for inflation.

What insurance premiums can be paid with HSA funds?

HSAs cannot pay for health insurance premiums unless they fall under a special exception. Your HSA can cover qualified premiums, including Medicare, COBRA, and long-term care insurance, though. Anytime you use your HSA to cover eligible expenses, you'll get triple tax benefits that can save you money.

What is the primary drawback to relying on HSA to fund long-term care?

The main downside of an HSA is that you will have a health insurance plan with a high deductible. A health insurance deductible is the amount of money you will need to pay out-of-pocket each year before your insurance plan benefits begin.

What expenses are HSA eligible?

HSA - You can use your HSA to pay for eligible health care, dental, and vision expenses for yourself, your spouse, or eligible dependents (children, siblings, parents, and others who are considered an exemption under Section 152 of the tax code).

What can I use my HSA for 2022?

HSA Eligible Expenses for 2022
  • Abortion.
  • Acupuncture.
  • Ambulance fees.
  • Artificial limbs and teeth.
  • Bandages.
  • Birth control pills.
  • Body scans.
  • Breast pumps and supplies.