Medicare Blog

what happens to my hsa balance with i go on medicare

by Dr. Maximo Dare I Published 2 years ago Updated 1 year ago

What happens to my HSA once I enroll in medicare? When you enroll in Medicare, you can continue to withdraw money from your HSA. The money is yours forever. Your HSA dollars can cover qualified medical expenses — 100% tax-free — if your insurance doesn’t reimburse you.

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

Can I withdraw money from my HSA for Medicare?

Health Savings Accounts (HSAs) and Medicare. However, you may continue to withdraw money from your HSA after you enroll in Medicare to help pay for medical expenses, such as deductibles, premiums, copayments, and coinsurances. If you use the account for qualified medical expenses, its funds will continue to be tax-free.

What is the difference between an HSA and a Medicare account?

Health Savings Accounts (HSAs) and Medicare. Health Savings Accounts (HSAs) are accounts for individuals with high- deductible health plans (HDHPs). Funds contributed to an HSA are not taxed when put into the HSA or when taken out, as long as they are used to pay for qualified medical expenses.

What happens to my HSA if I enroll in Medicare Part A/B?

If you enroll in Medicare Part A and/or B, you can no longer contribute pre-tax dollars to your HSA. This is because to contribute pre-tax dollars to an HSA you cannot have any health insurance other than an HDHP.

What happens to my HSA if I Lose my health insurance?

If you lose your high deductible health plan (HDHP) health insurance coverage, you won’t be able to contribute to your HSA until you regain HDHP coverage. 2 This is true even if you get health insurance coverage from a different type of health plan.

What happens to HSA money when you go on Medicare?

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.

Can I keep my HSA while on Medicare?

Yes. Even if enrolled in Medicare, you may keep an HSA if it was in existence prior to Medicare enrollment. You can spend from your HSA to help pay for medical expenses, such as deductibles, premiums, copayments, and coinsurances. If you use the account for qualified medical expenses, it will continue to be tax-free.

What happens to my HSA account 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 pay Medicare Part B with my HSA?

Yes, you can pay your Medicare Part B premiums from your HSA. However, you won't be directly paying the Part B premium – you'll be reimbursing yourself for the expense.

Can my spouse use my HSA if they are 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.

At what age can you withdraw from HSA without penalty?

age 65After 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.

What should I do with my HSA when I retire?

When you retire, you can use those HSA savings for a range of qualified health care expenses, including:IRS qualified health care premiums for Medicare Parts B, C, and D,Medicare deductibles, co-pays, and co-insurance,qualified long-term care insurance premiums,dental and vision expenses,hearing aids,More items...

What is the average HSA balance?

The average HSA balance for a family is about $7,500 and for individuals it is about $4,300. This average jumps up to $12,000 for families who invest in HSAs.

Why do I have to stop HSA contributions 6 months before Medicare?

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.

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 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 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 I contribute to my health insurance in 2014?

In general for 2014, if you have a qualifying High Deductible Health Plan (HDHP), you can contribute up to $3,300 if you have individual coverage or $6,550 if you have family coverage per year.

Can seniors contribute to HSA?

Once you become eligible for Medicare, seniors cannot continue contributing money in their HSA. But consumers can still use the HSA funds tax-free on medical expenses including premiums, deductibles and prescription drugs.

Can I use HSA for Medicare?

Consumers who use Health Savings Accounts (HSAs) and will soon be eligible for Medicare should be aware of certain changes. In the past few years, Health Savings Accounts have been gaining ground in the industry with millions of consumers enrolling in health plans compatible with the tax-free savings accounts.

What happens to my HSA once I enroll in medicare?

When you enroll in Medicare, you can continue to withdraw money from your HSA. The money is yours forever. Your HSA dollars can cover qualified medical expenses — 100% tax-free — if your insurance doesn’t reimburse you.

Are there penalties for having both an HSA and Medicare?

The IRS won’t penalize you if you still have money in your HSA when you enroll in Medicare. You can use your HSA dollars to pay for qualified medical expenses if you want to save money on taxes. Unlike a flexible spending account (FSA), all the unused funds in your HSA will continue to roll over every year.

What costs are not covered by Medicare?

Before you apply for Medicare, you should review your major out-of-pocket costs. This will help you determine the best time to apply for coverage.

What happens when I buy an eligible expense vs. an ineligible expense with HSA funds?

When you turn 65, you will have more flexibility over how you use the funds in your HSA. You can pay for all qualified expenses, free of taxes. You’ll have to pay income tax on money you withdraw to pay for nonqualified expenses. If you’re under 65, you may also owe a 20% tax penalty.

Are my withdrawals for HSA tax-free?

One of the benefits of an HSA is that your withdrawals can be tax-free if used for qualified medical expenses. All nonqualified expenses will be subject to federal and state income taxes.

The bottom line

Enrolling in Medicare can affect your ability to make contributions to a health savings account (HSA). Before you sign up for Medicare, make sure you understand HSA rules to avoid unexpected taxes and penalties. Although Medicare beneficiaries cannot contribute to an HSA, they can still withdraw money from the account.

Is HSA taxed?

Funds contributed to an HSA are not taxed when put into the HSA or when taken out, as long as they are used to pay for qualified medical expenses. Your employer may oversee your HSA, or you may have an individual HSA that is overseen by a bank, credit union, or insurance company.

Can you use HSA for qualified medical expenses?

If you use the account for qualified medical expenses, its funds will continue to be tax-free. Whether you should delay enrollment in Medicare so you can continue contributing to your HSA depends on your circumstances.

Does HDHP have a deductible?

HDHPs have large deductibles that members must meet before receiving coverage. This means HDHP members pay in full for most health care services until they reach their deductible for the year. Afterwards, the HDHP covers all the member’s costs for the remainder of the year.

How long do you have to fund your HSA before you sign up for Medicare?

For this, you need to understand the Medicare calendar . You become eligible for Medicare when you turn 65 years old (enrollment starts three months before and ends three months beyond your birth month).

What is an HSA account?

Health savings accounts are one way to put aside money for any medical expenses you may have now or in the future. This includes future Medicare out-of-pocket expenses. Not everyone is eligible for an HSA. First and foremost, you must be enrolled in a qualifying high-deductible health plan.

What are non-Medicare expenses?

Non-Medicare expenses that qualify include premiums for long-term care insurance and over-the-counter medications (but only if you get a written prescription for them). 2  Keep in mind that monthly premiums for Medicare Supplement plans do not qualify under HSA rules.

How long do you have to sign up for Medicare if you leave your job?

You can delay Medicare enrollment using the Special Enrollment Period if your employer hires at least 20 full-time employees. In that case, you have eight months to sign up for Medicare from the time you leave your job or lose your employer-sponsored coverage, whichever comes first.

How long does it take to get Medicare if you are on Social Security?

Likewise, someone who is on Social Security Disability Insurance (SSDI) will be automatically enrolled in Medicare after 24 months (2 years). Everyone else has to apply for Medicare on their own. Although Medicare eligibility begins at 65 years old, the current retirement age for Social Security is 67.

How much did Medicare cost in 2016?

Medicare costs add up quickly. An analysis by the Kaiser Family Foundation noted that the average Medicare beneficiary spent $5,460 out of pocket for health care in 2016. 1 .

Why is it important to have a health savings account?

Health savings accounts can be an effective way to invest in the future. They decrease your overall tax burden and allow you to invest and grow your savings. It can be especially important to have these funds available once you retire and are more likely to have a fixed income.

What happens if you lose your HSA?

If you lose your high deductible health plan (HDHP) health insurance coverage, you won’t be able to contribute to your HSA until you regain HDHP coverage. 2  This is true even if you get health insurance coverage from a different type of health plan.

When is the HSA contribution deadline?

And you always have until the tax filing deadline—around April 15 of the following year—to make some or all of your contribution 2 (for 2019 and 2020 HSA contributions, the deadlines were extended in line with the tax filing extensions that applied due to the COVID pandemic).

How to pay cobra premiums?

Pay COBRA Premiums Using Your Health Savings Account. If you’re losing your health insurance as a result of leaving your job, you can use the money in your HSA to pay the monthly premiums for COBRA continuation of your health insurance. This is considered a qualified medical expense, so you won’t have to pay income taxes on the withdrawals, ...

What is an HSA custodian?

An HSA custodian is the bank or financial institution where you keep your HSA funds. You don’t have to keep your HSA with the same custodian after you leave your job; you may move your HSA from one custodian to another. You might consider doing this if

What does it mean to not have an HDHP?

Not having an HDHP means you’re not allowed to contribute to your HSA (and keep in mind that an HDHP is a very specific type of health plan that has to follow specific IRS rules; it's not just any health plan with a high deductible).

Can you use HSA to pay for health insurance?

But once you're no longer receiving unemployment benefits, you cannot use pre-tax HSA funds to pay your health insurance premiums (unless you're transitioning to Medicare; HSA funds can be used to pay most Medicare-related premiums). Note that the American Rescue Plan has made it easier for people to maintain health insurance coverage ...

Do you have to pay taxes on HSA withdrawals?

This is considered a qualified medical expense, so you won’t have to pay income taxes on the withdrawals, and you won't be subject to the 20% penalty that applies to HSA withdrawals that aren't used for qualified medical expenses. 1.

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