Medicare Blog

hsa contributions when medicare eligible

by Dr. Madonna Kozey Published 2 years ago Updated 1 year ago
image

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.

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.

Full Answer

How much Am I eligible to contribute to a HSA?

These include:

  • Another health plan that isn’t HSA-qualified, including a spouse’s health plan or a supplemental health plan.
  • Being enrolled in Medicare, Medicaid, or Tricare. ...
  • Being covered by a Flexible Spending Account (FSA), either yours or your spouse’s.

More items...

Can I contribute to a hsa while on 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. So it’s important to know how you can get around this rule if you have an HSA at work and want to continue working beyond age 65. Here’s what you can do, according to different situations:

What is the penalty for having a HSA and Medicare?

Understanding the HSA Withdrawal Penalty and Other Useful Information

  • HSA Basics. In some ways, an HSA is similar to a Flexible Spending Account (FSA). ...
  • Non-qualified expenses and the HSA withdrawal penalty. One significant perk of an HSA is that once you reach age 65, you can withdraw funds for any expense without penalty.
  • Mistake Forgiveness. The IRS does allow some leeway for honest mistakes. ...
  • HSA Facts You Should Know. ...

How much can individuals contribute to a HSA?

  • Maximum Self-only contribution permitted in 2016: $3,350
  • $3,350 ÷ 12 months: $279.17
  • Number of months eligible in 2016 (August – December): 5
  • $279.16 X 5 months: $1,395.85

image

Can I contribute to an HSA the year I turn 65?

At age 65, most Americans lose HSA eligibility because they begin Medicare. Final Year's Contribution is Pro-Rata. You can make an HSA contribution after you turn 65 and enroll in Medicare, if you have not maximized your contribution for your last year of HSA eligibility.

What happens if I have Medicare and contribute to an HSA?

HSA contributions (including employer-provided ones) are disallowed when other coverage is in place, including Medicare Part A. Workers can still enroll in HSA-eligible plans and use funds already in HSAs for eligible expenses; they just can't contribute further once enrolled in Medicare.

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 you contribute to an HSA if you are retired?

The simple answer is: Yes! Once you turn 65, you can still contribute to your HSA post-retirement as long as you aren't enrolled in Medicare and have a qualifying HDHP.

When should I stop contributing to my HSA before Medicare?

The takeaway here is that you should delay Social Security benefits and decline Part A if you wish to continue contributing funds to your HSA. Finally, if you decide to delay enrolling in Medicare, make sure to stop contributing to your HSA at least six months before you do plan to enroll in Medicare.

Can I contribute to an HSA if I am collecting Social Security?

HSAs offer many advantages, but they don't mix with certain types of federal programs and benefits. For example, if you are enrolled in Medicare Parts A or B, or if you file for Social Security benefits after age 65, you can't make contributions to an HSA.

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.

Is an HSA taxable income if an employee is 65?

As an example – if employee “JD” aged 65 and not eligible to contribute to an HSA, newly creates an HSA, it (the HSA) will be disregarded for tax purposes, and any pre-tax contributions will be treated as taxable income.

Can an employer determine if an employee is eligible for Medicare?

It is important to keep in mind, employers are not responsible for determining whether or not their employees are entitled to Medicare, and ineligible for HSA contributions according to the IRS guidance on HSA eligibility.

Does HSA exise tax apply?

Since the HSA is disregarded, those specific exise taxes will not apply. However, corrections will be more complicated for any contributions made toward a preexisting, valid HSA. Without timely distribution of those contributions, excise taxed may be incurred.

Can you file for Medicare at 65?

For individuals who are working at age 65, eligible for Social Security benefits, but have yet to apply – they must file an application in order to be entitled to Medicare. Therefore, their Medicare entitlement could be delayed if their receipt of Social Security benefits is delayed.

Is Medicare eligible for HSA?

Medicare-Eligible Employees and HSA (Health Saving Accounts) Contributions. Many organizations offer High Deductible Health Plans (HDHP) in conjunction with an HSA (Health Saving Account) as a part of their employee benefit programs, and at some point for employers the issue will arise of employees approaching age 65 that are Medicare-eligible, ...

Can I contribute to HSA at 65?

Medicare Part A eligibility alone does not disqualify an individual from contributing to an HSA upon attaining age 65. However, if an individual is both eligible and enrolled in Medicare (actually entitled to Medicare benefits), that individual cannot make HSA contributions for those months during that eligibility/enrolled period.

How long does retroactive Medicare coverage last?

In that situation, the employee may receive up to six months of retroactive Medicare coverage for the period prior to the month in which application for benefits is eventually made. That period of retroactive coverage will be a period of Medicare entitlement that precludes HSA contributions for those months.

Is an employer responsible for determining if an employee is eligible for Medicare?

IRS guidance regarding HSA eligibility does not make employers responsible for determining whether their employees are entitled to Medicare and thus ineligible for HSA contributions. Nevertheless, it seems prudent for the employer to ascertain whether an employee is entitled to Medicare as part of the enrollment process for its HSA program.

Can I contribute to HSA if I am Medicare Part A?

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 automatically apply based on age?

Medicare entitlement based on age may occur automatically if an individual begins receiving Social Security benefits (i.e., a separate application is not required). Other individuals must file an application in order to be entitled to Medicare (e.g., working individuals who are eligible for Social Security benefits but have not applied for them).

Is an HSA taxable income?

If an HSA is newly created for an employee who is not eligible to make HSA contributions, the HSA will be disregarded for tax purposes, and any pre-tax contributions will be treated as taxable income. (Because the HSA is disregarded, HSA-specific excise taxes will not apply.)

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.

How does an HSA work?

HSAs work with HSA-eligible health plans to allow you to pay for qualified medical expenses. HSAs offer triple tax savings 1: 1 You can contribute pre-tax dollars. 2 You pay no taxes on earnings. 3 You can withdraw the money tax-free now or in retirement to pay for qualified medical expenses.

How long do you have to stop HSA contributions?

If you continue to work after age 65, and you or your employer is still contributing to an HSA: Stop making contributions to your HSA up to 6 months before applying for Medicare Part A only or Part A and Part B or starting your Social Security retirement benefits.

How long does it take for HSA to end?

When you enroll in any form of Medicare, neither you nor your employer should continue contributing to your HSA. If you enroll in Medicare after turning 65, your coverage can become effective up to 6 months earlier. You and your employer will need to end your HSA contributions up to 6 months before enrolling in Medicare since Medicare back dates ...

Can you be subject to tax penalties if you enroll in Medicare?

You could be subject to tax penalties if you make health savings account (HSA) contributions after you enroll in Medicare or when your Medicare coverage begins.

When does Bill turn 65?

Bill turns 65 on August 27 and enrolls in Medicare. He is no longer eligible to contribute to his HSA as of August 1. His maximum contribution for the year would be 7/12 ( he was eligible seven twelfths of the year) times the applicable federal limit. He may include the catch-up amount of $1,000 since he’s over the age of 55.

Can I contribute to HSA after Medicare effective date?

Once you are enrolled in any part of Medicare, you will not be eligible to contribute to an HSA in the months following your Medicare effective date. A pro-rated contribution must be determined for the year in which Medicare becomes effective (see reverse side for more details).

Can I contribute to my HSA if I don't have Medicare?

If you want to continue to contribute to your HSA, you must not enroll in Medicare. There is a distinction between being eligible for Medicare, and being enrolled. You become enrolled by filing an application or being approved automatically. Receiving Social Security benefits also automatically enrolls you in Part A. If you are not enrolled in Medicare and are otherwise eligible to contribute to an HSA (by being enrolled in a qualifying health plan), you can continue to contribute to your HSA after age 65.

How old do you have to be to contribute to an HSA?

HSA Contributions After Age 65. The rules for contributing to an HSA do not change once an individual turns age 65. So if the individual meets the eligibility requirements, he can contribute his annual limit, including a $1,000 catch-up contribution because of his age (age 55 or older). Thus, an HSA owner.

What happens if you don't use your HSA?

If they don’t use their HSA withdrawal to pay for qualified medical expenses after age 65, then they include the distributed amount as taxable income but won’t have to pay the additional penalty tax because reaching age 65 is an exception to this tax. Medicare Premiums.

What happens if you enroll in Medicare after 65?

Therefore, if someone enrolls in Medicare after age 65, he generally should plan on having retroactive coverage and reduce his HSA contribution appropriately. This may prevent making an excess HSA contribution. Enrollment in Medicare and determining the months someone is enrolled is complicated.

How long does Medicare last?

This seven-month period is broken into three phases and the start date of certain Medicare coverages may be affected by the month enrolled. These phases run three months before the month they turn age 65, the month they turn age 65, and the three months following the month they turn age 65. Some individuals may decide to opt out or delay Medicare ...

When does Medicare retroactive coverage begin?

Retroactive Enrollment. Individuals who delay Medicare beyond age 65 generally will have retroactive coverage for Medicare Part A when they do enroll. Premium-free Part A coverage begins six months before the date the individual applies for Medicare, but no earlier than the first month he was eligible for Medicare.

How many employees do you need to be on Medicare?

As noted, in order to delay Medicare enrollment, one must be covered under a group health plan that covers at least 20 employees. Individuals generally won’t meet this 20-employee requirement if they work for a small employer or are self-employed.

When do you enroll in Medicare?

This enrollment generally takes place on the first day in the month they reach age 65.

How long do you have to stop HSA before enrolling in Medicare?

There is a six - month lookback period (but not before the month of reaching age 65) when enrolling in Medicare after age 65, so a best practice is for workers to stop contributing to their HSA six months before enrolling in Medicare to avoid penalties. See the examples below for more on this.

When did HSA start?

Image by Roy Scott/IKON Images. Before the tax - savings wonder that is the health savings account (HSA) was introduced in 2003, it was a generally accepted best practice for any worker who wasn't already collecting Social Security at the age of 65 to go ahead and sign up for Medicare Part A (hospital insurance), regardless of other coverage.

What happens if you miss the deadline for Medicare?

In other words, getting the Medicare Special Enrollment Period wrong risks a gap in coverage plus a lifetime of penalties.

Can HSA funds be used for medical expenses?

See the examples below for more on this. Funds already in the HSA can still be used for qualified medical expenses upon enrollment in Medicare, including to reimburse taxpayers for Medicare premiums (but not premiums for Medicare supplemental insurance) as well as to pay for long - term - care costs and insurance.

image
A B C D E F G H I J K L M N O P Q R S T U V W X Y Z 1 2 3 4 5 6 7 8 9