What happens to my HSA when I go on Medicare?

Asked by: Nona Turner DDS  |  Last update: February 11, 2022
Score: 4.3/5 (70 votes)

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.

What happens to my HSA when I enroll in Medicare?

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. For example, if your 65th birthday is May 6 and you enroll in Medicare immediately, your effective date of Medicare coverage is May 1.

What happens to my HSA 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!

Can you have an HSA and Medicare?

IRS rules say that you can't contribute to an HSA if you're enrolled in Medicare. You can draw on funds already in the account but you can't add to them. ... If you're eligible for Medicare but have not filed an application for either Social Security retirement benefits or Medicare, you need do nothing.

Can my spouse use my HSA if they are on Medicare?

Medicare coverage is not compatible with HSA eligibility, but it is individual coverage. So if a spouse is covered by Medicare, that fact has no bearing whatsoever on the other spouse's ability to contribute to an HSA account, since HSA accounts are individual trust accounts.

Learn What Happens to Your HSA with Medicare

24 related questions found

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).

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.

Can retirees contribute to HSA?

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.

Can HSA money be used for insurance premiums?

HSA funds generally may not be used to pay premiums. ... HSA funds roll over year to year if you don't spend them. An HSA may earn interest or other earnings, which are not taxable. Some health insurance companies offer HSAs for their HDHPs.

How much should you have in HSA when you retire?

Here's a quick reality check: Studies have shown that a couple retiring at age 65 may need $301,0002 to cover out-of-pocket medical expenses during retirement. The good news is that you can use your HSA's triple tax advantages to help you stretch your retirement savings further.

What do I do with my HSA when I retire?

For retirees over age 65 who have employer-sponsored health coverage, an HSA can be used to pay your share of those costs as well. Your HSA can be used to cover part of the cost for a "tax-qualified" long-term care insurance policy. You can do this at any age, but the amount you can use increases as you get older.

How much does the average senior pay for Medicare?

Medicare's total per-enrollee spending rose from $11,902 in 2010 to $14,151 in 2019. This included spending on Part D, which began covering people in 2006 (and average Part D spending rose from $1,808 in 2010 to $2,168 in 2019). These amounts come from p. 188 of the Medicare Trustees Report for 2020.

Can you get Medicare Part B for free?

While Medicare Part A – which covers hospital care – is free for most enrollees, Part B – which covers doctor visits, diagnostics, and preventive care – charges participants a premium. Those premiums are a burden for many seniors, but here's how you can pay less for them.

How much will I pay for Medicare when I turn 65?

Most people pay the standard premium amount of $144.60 (as of 2020) because their individual income is less than $87,000.00, or their joint income is less than $174,000.00 per year. Deductibles for Medicare Part B benefits are $198.00 as of 2020 and you pay this once a year.

Do I need to contact Social Security when I turn 65?

If you aren't eligible for full Social Security retirement benefits at age 65, and you aren't getting Social Security benefits, you can still get your full Medicare benefits (including premium-free Part A) at age 65, but you must contact Social Security to sign up.

Will the Medicare age be raised to 67?

3 The retirement age will remain 66 until 2017, when it will increase in 2-month increments to 67 in 2022. Several proposals have suggested raising both the normal retirement age and the Medicare eligibility age.

Can you draw Medicare without drawing Social Security?

Even if you don't qualify for Social Security, you can sign up for Medicare at 65 as long you are a U.S. citizen or lawful permanent resident.

How do I use my HSA to pay Medicare premiums?

You can use the money you already have in an HSA to pay your Medicare premiums, deductibles, and copayments. You'll pay taxes on any contributions you make to an HSA after you enroll in Medicare. You should stop contributing to an HSA 6 months before you enroll in Medicare.

Does Medicare cover 100 percent of hospital bills?

Most medically necessary inpatient care is covered by Medicare Part A. If you have a covered hospital stay, hospice stay, or short-term stay in a skilled nursing facility, Medicare Part A pays 100% of allowable charges for the first 60 days after you meet your Part A deductible.

What is the maximum out of pocket expense with Medicare?

The Medicare out of pocket maximum for Medicare Advantage plans in 2021 is $7,550 for in-network expenses and $11,300 for combined in-network and out-of-network expenses, according to Kaiser Family Foundation.

What is the cost for Medicare Part D for 2021?

Premiums vary by plan and by geographic region (and the state where you live can also affect your Part D costs) but the average monthly cost of a stand-alone prescription drug plan (PDP) with enhanced benefits is about $44/month in 2021, while the average cost of a basic benefit PDP is about $32/month.

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).

What is the average HSA balance?

According to the report, families have an average HSA balance of about $7,500 compared to $4,300 for individuals. For those who invest, families have an average investment balance of about $12,000 compared to just under $7,000 for individuals.

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 .