Medicare Blog

hsa contribution when employee has medicare a but spouse doesn't

by Prof. Hildegard Dietrich DDS Published 1 year ago Updated 1 year ago

Can I contribute the family amount to my HSA if my spouse is on Medicare?

Your spouse on Medicare is not eligible to contribute to an HSA in his or her name, regardless of whether he or she is covered on your medical plan.

Does my spouse have to be on my health insurance to use my HSA?

If you're covered by your partner's family non-HDHP, then you unfortunately cannot open an HSA, and neither can your partner. If you're not covered by your spouse's family plan, however, and you have a HDHP, then you can go ahead and open an HSA.

Can you contribute to an HSA if you are 65 and not on Medicare?

Can I contribute to my HSA if I am age 65 and covered under an HDHP? Yes, you can contribute to your HSA as long as you are an eligible individual and have not enrolled in Medicare Part A, B, or D. Once you enroll in Medicare you may no longer contribute to your HSA.

Can my employer contribute to my HSA if I have Medicare Part A?

You can contribute to an HSA for as long as you want if you haven't enrolled in Medicare and have an HSA-eligible insurance policy. However, after you sign up for Medicare, you can't make new contributions. And if you're on Medicare, your employer can't add to your HSA either.

Can I use my HSA account to pay for my wife's medical expenses?

You can use an HSA to pay for qualified medical expenses for yourself, a spouse, and your dependents, even if they are covered by other insurance.

Can both spouses make catch up contributions to HSA?

As long as you have a family health insurance policy, both spouses can open a separate HSA and contribute their own $1,000 catch-up contribution. You can split up the $6,750 in regular contributions however you'd like between the two accounts.

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).

Can I contribute to an HSA if I am 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.

What is the penalty for contributing to an HSA while on Medicare?

If, however, the individual becomes ineligible for the HSA anytime in the next calendar year (referred to as the “testing period”), either due to Medicare enrollment or otherwise, they will be subject to back taxes and a 10% income tax penalty on the amount of funds they contributed.

When does family HSA coverage start?

Family coverage begins on the 2nd of the month. Not eligible to contribute for that month, but can contribute going forward. Note that they have the option to make this up this missed month using the Last Month Rule . In all of the above examples, HSA coverage exists but due to other factors, the individual has a $0 contribution limit ...

Is a child a dependent on HSA?

Child is a dependent. Husband and wife have HSA eligible insurance. Wife has an FSA at work, which also covers the spouse, violating the “Other coverage” clause. (Note – in 2018 there was legislative discussion of changing this FSA rule.) Family coverage begins on the 2nd of the month.

Can a wife contribute to an HSA if she has only one child?

If only the wife and child are covered by the HSA insurance, a strange situation develops since the wife is not HSA eligible. Based on the IRS rules in Form 969, at least one eligible individual is required to contribute to the HSA:

Can Medicare affect HSA?

Note that Medicare can retroactively affect your HSA coverage. Either way, the IRS test for contribution is called HSA eligibility. It contains 4 rules which are: If any of the above are violated, the individual is not HSA eligible and they cannot open or contribute to an HSA.

Can adult children fund HSA?

Of course, they would need those funds, or you would need to contribute it for them. Note that this is the scenario discussed in Your Adult Children can Fund their HSA. However, note that the parent’s could not fund the HSA in this scenario.

Can a child contribute to HSA if they are not 55+?

If child is an eligible individual, family contribution applies (no 55+) but must go into eligible individual’s (child’s) HSA. If child is not an eligible individual, no contribution limit seems to apply.

What is an HSA compatible plan?

Some are enrolled in group health insurance plans which are HSA-compatible. This means that the insurance plan has a high deductible and is a qualified plan for which employees can open health savings accounts to save money toward future medical expenses. These contributions have many benefits for the employee, including tax savings benefits.

What is an HSA account?

HSA stands for Health Savings Account. This is a tax-favored account that eligible individuals can open to save money for medical expenses. To be eligible, that individual must be enrolled in a qualified high-deductible health plan (HDHP) and must NOT be enrolled in any other insurance, including Medicare.

How long does it take to get Medicare after 65?

Applying for Medicare After Turning 65. If you apply for Medicare Part A after you turn 65, your Part A will become retroactive for up to 6 months. Therefore, if you plan on applying for Part A after you turn 65, you will want to stop contributing into your HSA up to 6 months prior to enrolling in Medicare. If you don’t, you could end up facing ...

How much can you spend on Medicare Part A in 2021?

Most Medicare beneficiaries who are still working at age 65 choose to enroll in Medicare Part A. That’s because Part A can limit your hospital spending to $1,484 (in 2021) if you ever have a hospital stay.

How much is a deductible for group health insurance?

Let’s say your group health insurance has a $5000 deductible. This is a pretty considerable financial exposure, especially for someone who will retire in a few years. If this person has a hospital stay of even just 1 or 2 days, the likelihood that he would spend that $5K toward his deductible is pretty high.

What if you didn't realize this and have already signed up for Part A and Social Security income benefits?

What if you didn’t realize this and have already signed up for Part A and Social Security income benefits? You would need to stop contributing to the health savings account immediately. However, you can use the funds that are already in your health savings account for qualified medical expenses until you exhaust the account.

Is Medicare a primary or secondary?

If your employer is a small employer, then Medicare is primary. You need to enroll in Medicare A and B and stop contributing in the HSA. If your employer is a large employer and contributing a fair amount of money each year into your HSA for you, then delaying Medicare might be wise.

How Does Medicare Work With an HSA?

A health savings account (HSA) allows you to put money away for medical expenses. The money you put into your HSA is pre-tax — meaning it doesn’t count toward your taxable income.

Can One Spouse Have Medicare and the Other Contribute to an HSA?

Receiving Medicare coverage does not disqualify your spouse from an HSA.

Does Medicare Have Its Own Version of an HSA?

Medicare offers its own version of an HSA called Medicare Medical Savings Account (MSA) plans. MSA plans are sold through private insurance companies.

What is HSA 2021?

Medicare and Health Savings Accounts (HSA) Home / FAQs / General Medicare / Medicare and Health Savings Accounts (HSA) Updated on June 9, 2021. There are guidelines and rules you must follow when it comes to Medicare and Health Savings Accounts. A Health Savings Account is a savings account in which money can be set aside for certain medical ...

What is a health savings account?

A Health Savings Account is a savings account in which money can be set aside for certain medical expenses. As you get close to retiring, it’s essential to understand how Health Savings Accounts work with Medicare.

What is the excise tax on Medicare?

If you continue to contribute, or your Medicare coverage becomes retroactive, you may have to pay a 6% excise tax on those excess contributions. If you happen to have excess contributions, you can withdraw some or all to avoid paying the excise tax.

Can you withdraw money from a health savings account?

Once the money goes into the Health Savings Account account, you can withdraw it for any medical expense, tax-free. Additionally, you can earn interest, your balance carries over each year, and this can become an investment for a retirement fund. Unfortunately, some restrictions come along with having a Health Savings Account with Medicare.

How much can a married couple contribute to an HSA?

In cases where both spouses have self-only coverage, each spouse may contribute up to $3,600 each year in separate accounts.

What happens if you exceed your HSA contribution limit?

If an individual or married couple exceeds the HSA contribution limit, they will be subject to a 6 percent excise tax. You can avoid this fee if you withdraw the excess contribution amount from the HSA before the tax deadline for that year.

What is the maximum HSA contribution for 2021?

For 2021, the self-only HSA contribution limit is $3,600 and the family contribution limit is $7,200. For a married couple maintaining two HSAs—with one spouse having family coverage (for self + dependents) and the other with self-only coverage—you might assume they simply combine the contribution limits, for a total contribution ceiling of $10,800.

Can married couples share HSA?

This is not the case, however. The IRS gives married couples three options: Allocate it unevenly, according to a division both parties agree upon. In any case, the IRS treats married couples as a single tax unit, which means they must share one family HSA contribution limit of $7,200.

Can you use two FSA accounts to reimburse the same expense?

This ensures that you can’t use both accounts to reimburse the same expense.

Does the IRS have a limit on HSA contributions?

The IRS has specific rules for HSA contribution limits and how they work with spouses. There are penalties for exceeding your contribution limits, so it’s important to make sure you and your spouse know the rules.

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