Medicare Blog

hsa reporting when one spouse goes on medicare mid year

by Clara Fay Published 2 years ago Updated 1 year ago

As stated above, a spouse or dependent on Medicare or Medicaid will not render an employee ineligible for an HSA, though the Medicare-entitled spouse will of course be HSA-ineligible. As long as the employee is an eligible individual he or she can use the HSA for qualified and medical 4 https://www.irs.gov/pub/irs-pdf/i8889.pdf.

Full Answer

What happens to my HSA if my spouse has Medicare?

A spouse may continue with their HSA while the other spouse has Medicare, without penalty. Anyone, not just the employer, can contribute to the active HSA account, up to the IRS allowed limits. You both can make contributions to the HSA account despite one spouse having government-funded health insurance.

How does the last month rule affect husband’s HSA contribution?

It doesn’t affect Husband’s maximum but Wife’s contribution to her own HSA for September – December is also prorated. With the last month rule, and its required strings, she can add Jan – March. So she can do $3,400 * 4 / 12 without the last month rule, or $3,400 * 7 / 12 with the last month rule. Claytonsays September 14, 2017 at 10:14 pm

How much did you split with your spouse for HSA?

We agreed to split 50/50 through the year. 6850/2=3425. I already contributed as of May 1st my portion to my HSA. I`m changing jobs and jumping on her HDP insurance on May 1st.

When should I add Medicare to my HSA?

Now to add in Medicare: Eligibility for HSA contributions is determined on the first day of the month. However, Medicare is backdated to the first day of the month in which the person turns 65, even if you enroll late.

Can I contribute to my HSA for my spouse after I go 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.

What happens to HSA when you 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.

Do I have to stop HSA contributions 6 months 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 you have an HSA and Medicare at the same time?

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.

What happens to my HSA when I turn 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 I have a family HSA plan if my spouse is 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.

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).

How long do you have to work to qualify for Medicare?

First, it is important to know how eligibility for Medicare works. Most Medicare beneficiaries have worked and paid Medicare payroll taxes for at least 10 years to qualify for premium-free Medicare Part A as well as Part B coverage. If you have not worked for 10 years but your spouse has, you are allowed to claim benefits on their record. Medicare benefits cannot start earlier than when you turn 65, unless you are disabled, have ALS, or have end-stage renal disease. Medicare will only cover you, not your spouse or children if they are not eligible on their own.

How long does a spouse have to be on Cobra?

If a company has more than 20 employees, it is required to offer COBRA benefits. COBRA allows coverage for 18 months, sometimes longer, so if the working spouse can wait to retire until 18 months before the younger spouses 65th birthday, this would work out nicely.

Can a non-working spouse get Social Security?

If the non-working spouse is older than the working spouse, the non-working spouse can qualify on on the working spouses work record if they are at least 62, since that is when qualification for Social Security begins. In this case, if the working spouse is still working, the non-working spouse should stay on the work health insurance ...

Can a spouse get health insurance after 65?

The other option would be for the younger spouse to find a job that offers health insurance until they turn 65. While this is a long-shot, some companies will provide coverage for the younger spouse even after the working spouse retires.

Can a non-working spouse claim Medicare?

If the working spouse is no longer employed, the non-working spouse should go ahead and apply for coverage fully from Medicare. If the working spouse is younger than 62, the non-working spouse will not be able to claim on the record.

Does Medicare cover spouse?

Medicare will only cover you, not your spouse or children if they are not eligible on their own. This is where problems begin, especially when a working spouse is older than a non-working spouse. Say the working spouse turns 65, retires, and claims Medicare. The other spouse is only 61.

Can a spouse with a low income get medicaid?

Medicaid is a joint Federal and State program designed to help people with low incomes cover healthcare costs. If, by retiring, your income falls under a certain level, the younger spouse may be eligible for Medicaid coverage. Be aware, as a family, you have to have a very low income and very little assets, so many people will not qualify.

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 long can you take 1/2 family?

The “1/2 family” part can shift either way to one person. Then you take an average of the 12 months. That’s the contribution limit for the year for each person. Example 2 is a mirror image of Example 1: Husband and wife have HDHP covering both of them (no kids). Husband enrolls in Medicare mid-year.

Can a spouse have self-only coverage?

If one spouse in a married couple has self-only coverage and another spouse has family coverage (with kids, for example) through a separate plan, they are both treated as having family coverage. They must share one family coverage limit as if they have only one family plan.

Can you spend HSA on medical expenses?

Once the money is in the HSA, it can be spent on any qualified medical expenses incurred by all members of the family (yourself, spouse, and dependents) regardless whose name is on the HSA or whether that person is covered by the HDHP.

Can a husband and wife contribute to one HSA?

On the other hand, if husband and wife each has their own self-only HDHP, they can only contribute to two separate HSAs in their own names at the individual level. They can’t contribute at the family coverage level to just one person’s HSA.

Is there joint HSA?

There is no joint HSA. Each person’s eligibility to contribute to his or her HSA is determined separately. This is probably the most important part in understanding the HSA contribution limit. Once you drill this into your head, everything else becomes easy.

Can a person with HDHP contribute to an HSA?

Because it’s an individual account, only the person who has HDHP coverage can contribute. Suppose the dad covers himself and kids in a family HDHP and the mom has her own non-HDHP coverage. Only the dad can contribute to an HSA in his name (at the family coverage level).

When does my wife have to sign up for Medicare?

As long as your wife signs up for Medicare during the initial enrollment period, which it appears that she will do, her Medicare eligibility will begin on December 1, 2020 and she will be ineligible to make an HSA contribution for December 2020. (The annual limit is prorated for each month).

How is Medicare prorated at age 65?

an individual reaches age 65 is prorated based on the number of months that the. individual is an eligible individual. In particular, the maximum contribution is based on. the number of months that the person in not enrolled in Medicare.

What happens if my wife cancels my health insurance?

If your wife's employer canceled her coverage and made it a single HDHP covering you only, or the employer transitioned her to a different single medical coverage that works with Medicare and placed you in a single HDHP, then your contribution limit is reduced as you calculated.

When does Medicare start backdated?

However, Medicare is backdated to the first day of the month in which the person turns 65, even if you enroll late. If you sign up for Medicare Part A (Hospital Insurance) and/or Medicare Part B (Medical Insurance) during the first 3 months of your Initial Enrollment Period, your coverage starts the first day of the month you turn 65.

When is Medicare enrollment period?

The Initial Enrollment Period is a seven-month period that starts three months before you are first eligible for Medicare. For example, Mary Doe Jones turned 65 on April 27, 2020. She is first eligible for Medicare starting in April 2020 because she is turning 65.

When do you enroll in Medicare 2020?

October 19, 2020 11:42 PM. When you first qualify for Medicare you enroll during the Initial Enrollment Period. The Initial Enrollment Period is a seven-month period that starts three months before you are first eligible for Medicare. For example, Mary Doe Jones turned 65 on April 27, 2020.

Do you have to have a HSA to have a HDHP?

The rules say to have a HSA the individual must be covered under a high deductible health plan. if either spouse has family coverage under a HDHP, both spouses are treated as having family coverage under a HDHP.

When can I not contribute to my HSA?

You cannot contribute to your HSA for the months of July, August, and September.

How long is an HSA eligible?

Let’s say you stay at the job all year and your insurance plan and eligibility don’t change. That means you are HSA-eligible for six months (July, August, September, October, November, and December). Your contribution amount will be prorated. Here's how this works out:

What is an HSA account?

A health savings account (HSA) can be a great way to save money for medical expenses. It is important to understand the rules and regulations that come with having an HSA. In this article, we’ll dive into the basics of HSA contribution limits. We will also break down all the nuances that come up if you gain or lose HSA eligibility throughout ...

What does it mean to be eligible for an HSA?

Being eligible for an HSA means you currently have the qualifications to open and contribute to an HSA. It doesn’t mean that you already have an open account or that you can contribute indefinitely.

What is a prorated contribution limit?

A prorated contribution limit also applies if the type of coverage you have changes. This happens if you switch from an individual to a family insurance plan or vice versa.

What is the most important thing to remember about contributions to your HSA?

The most important thing to remember about contributions to your HSA is to stay informed and proactive. It's easy! Calculate exactly how much you want to contribute for the year and know when you want to make those contributions.

When will HSA start in 2021?

Below is a chart detailing 2021 HSA-qualified health plans: HSA eligibility always starts on the first of a month. For example, if you enroll in a HDHP on June 15, and you meet all eligibility requirements, you will be HSA-eligible on July 1.

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