What is the penalty for HSA contributions and Medicare?

Asked by: Monserrat Carroll DVM  |  Last update: September 4, 2023
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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.

What is the tax penalty if I have HSA and Medicare?

Your contributions after you're enrolled in Medicare might be considered “excess” by the IRS. Excess contributions will be taxed an additional 6% when you withdraw them. You'll pay back taxes plus an additional 10% tax if you enroll in Medicare during your HSA testing period.

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.

Can you have Medicare and contribute to an HSA?

Does enrollment in Medicare impact my HSA eligibility? Yes. Because Medicare doesn't offer an HSA-qualifying option, you can no longer make contributions to an HSA — even if you have another health plan.

What are the penalties for HSA contributions?

What happens if I contribute more than the IRS annual maximum? If your HSA contains excess or ineligible contributions you will generally owe the IRS a 6% excess-contribution penalty tax for each year that the excess contribution remains in your HSA. It is recommended you speak with a tax advisor for guidance.

What You Need to Know About HSA's and Medicare

24 related questions found

Is there a 6% penalty for HSA contribution?

Generally, the IRS penalty equals 6 percent of your excess contributions. For example, if you have a $100 excess contribution, your fine would be $6.00. If you contributed $1,000 over, it would be $60. This penalty is called an “excise tax,” and applies to each tax year the excess contribution remains in your account.

What is the penalty for HSA at 65?

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.

Can you contribute to an HSA if you are no longer employed?

∎ Can I contribute to an HSA even if I'm not employed: You do not have to have a job or earned income from employment to be eligible for an HSA – in other words, the money can be from your own personal savings, income from dividends, unemployment, etc.

Can I stop HSA contributions mid year?

If you own an HSA, you can change your contribution amount at any time during the plan year, subject to the annual limit. (Annual contribution limits are set by the IRS each year.) However, your annual limit will change if you switch mid-plan-year from individual HDHP coverage to family HDHP coverage or vice versa.

Is Medicare always retroactive 6 months?

Your Part A coverage will go back (retroactively) 6 months from when you sign up (but no earlier than the first month you are eligible for Medicare). premium for every 12-month period you were eligible for, but did not have, Part A.

What is the 12th month rule for HSA?

"Under the Last Month Rule, if an individual is eligible on the first day of the last month of the tax year (December 1 for most taxpayers), he or she is considered an eligible individual for the entire year.

Do you have to use up your HSA every year?

Funds remain in your account from year to year, and any unused funds may be used to pay for future qualified medical expenses. For 2023, the IRS contribution limits for HSAs are $3,850 for individual coverage and $7,750 for family coverage.

What is the HSA tax loophole?

HSA Tax Advantages

Your contributions may be 100 percent tax-deductible, meaning contributions can be deducted from your gross income. All interest earned in your HSA is 100 percent tax-deferred, meaning the funds grow without being subject to taxes unless they are used for non-eligible medical expenses.

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.

Can I use 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.

Can I cash out my HSA at the end of the year?

You can withdraw funds from your HSA at any time to cover qualified medical expenses, which are listed below. The amount you are able to withdraw in a given year varies based on your medical costs. An HSA withdrawal is the last tax perk in the string of three tax advantages offered through this account.

What happens to unused HSA funds after death?

ANSWER: Upon the death of an HSA account holder, any amounts remaining in the HSA transfer to the beneficiary named in the HSA beneficiary designation form. (If a beneficiary is not named, the funds transfer according to the terms of the HSA trust or custodial account agreement.)

Do I lose my HSA if I quit my job?

If the person leaves their job, the HSA (and any money in it) goes with the employee. They are free to continue using the money for medical expenses and/or move it to another HSA custodian.

Can you use HSA for insurance premiums in retirement?

If you pay for your medical expenses out of pocket now, you'll have more saved in your HSA account to help pay for medical expenses once you retire. If you retire before age 65 and you aren't yet eligible for Medicare, you can use money in your HSA to pay your medical coverage premiums.

Can you cash out your HSA after 65?

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 if not used for qualified medical expenses.

Can you put too much in HSA?

Putting too much money in your HSA can happen, but the IRS isn't happy when it happens. In fact, you'll be penalized for it unless you catch it and fix it.

Are the tax benefits of an HSA worth it?

HSAs have substantial tax advantages, so much so that some use them as retirement plans, alongside their 401(k) or IRA accounts. Contributions to an HSA are made with pretax dollars. This means that you won't pay income tax on the money that you put directly into your HSA and you'll save on income taxes for the year.

How much can you put in HSA tax-free?

2022 HSA contribution limits:

An individual with coverage under a qualifying high-deductible health plan (deductible not less than $1,400) can contribute up to $3,650 — up $50 from 2021 — for the year to their HSA.

Do you have to declare HSA on taxes?

When filing your taxes, you are required to file IRS Form 8889 if you (or someone on your behalf, including your employer) made contributions to your HSA, or if you received HSA distributions for the year. For other conditions, see the IRS instructions for the 8889 Form.

Is it better to contribute to HSA through payroll?

Reduce taxable income - HSA contributions through payroll are made pre-tax, which lowers tax liability on paychecks. Manual contributions are tax deductible when filing taxes each year. Tax-free earnings - Interest growth earned on HSA funds is never taxed.