What happens to an HSA when you turn 65?

Asked by: Roosevelt Langworth  |  Last update: December 8, 2022
Score: 4.8/5 (46 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.

What happens to my HSA account when I go on 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.

Does HSA get 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!

What do I do with my HSA after I retire?

If you're 65 or older, retired and on Medicare, you're no longer eligible to contribute to the HSA, but can continue to use the funds for qualified medical expenses. If you're 65 or older, you're not limited to using an HSA just for health care expenses.

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After you reach age 65 or if you become disabled, you can withdraw HSA funds without penalty but the amounts withdrawn will be taxable as ordinary income.

Working past age 65? Watch out for the HSA Medicare trap.

31 related questions found

Can I use my HSA to pay Medicare premiums?

Once you reach age 65, you have more options for using your HSA funds. For example, you may use your funds, free of tax and penalty, for qualified medical expenses as well as to pay for Medicare Parts A, B, D premiums and Medicare HMO premiums.

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 a HSA be converted 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.

Can I contribute to HSA while collecting 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 you rollover an HSA into a Roth?

If you roll HSA contributions into your Roth IRA, you'll pay income tax plus a 20 percent penalty on the amount you withdraw because your withdrawal isn't used for medical expenses.

Can I transfer HSA funds to Roth IRA?

No, there's no way to convert an HSA to an IRA. And there's really no advantage to doing it, anyways. Both IRAs and HSAs allow you to deposit money into them before taxes. Your total yearly contributions to either type of account are deducted from your income before the taxable amount is computed.

Can I cash out my HSA?

Yes. You can withdraw funds from your HSA anytime. But keep in mind that if you use HSA funds for any reason other than to pay for a qualified medical expense, those funds will be taxed as ordinary income, and the IRS will impose a 20% penalty.

Can I use HSA for dental?

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).

Can my spouse use my HSA if they are 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.

Can you buy a toothbrush with HSA?

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 I pay for a root canal with my HSA?

You can use your Health Savings Account to pay for a wide range of dental treatments. These include teeth cleanings, digital x-rays, fillings, crowns, root canals, dental implants and even bridges. You can even use the money you save for cosmetic work, such as teeth whitening treatments.

Can you buy shampoo with HSA?

While some exceptions may vary, shampoo is generally not eligible for reimbursement with a flexible spending account (FSA), health savings account (HSA), health reimbursement arrangement (HRA), limited-purpose flexible spending account (LPFSA) or a dependent care flexible spending account (DCFSA).

Can I transfer money from my HSA to my bank account?

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.

Can you roll over HSA to 401k?

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

How does IRS know what you spend HSA on?

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.

How do I rollover my HSA?

You contact your current HSA provider and request it sends you a check or direct deposit of your funds, so you can set up an HSA rollover. Then you have 60 days to deposit those funds into your new HSA account. If you fail to do so, the IRS will levy income tax on the amount you rolled over, plus a 20% penalty.

What is the new HSA limit for 2021?

The annual limit on HSA contributions will be $3,600 for self-only and $7,200 for family coverage. That's about a 1.5 percent increase from this year.

Can I transfer HSA to Fidelity?

If your HSA money is invested, you may be able to do an in-kind transfer into a self-directed HSA, which allows your HSA provider to transfer both your cash balance and your investments to Fidelity. You may need a separate transfer request for each.

Does HSA money expire?

The money you contribute to an HSA has no “expiration date.” You can withdraw funds you need to pay for everyday out-of-pocket health care expenses or save them for care you may need years down the road.

Why you should max out HSA?

If you can afford to contribute more to your HSA, making the maximum contribution each year can be a smart retirement savings strategy. An HSA lets you save for future health care expenses without paying taxes when you withdraw the money, as you'd do with a 401(k).