Medicare Blog

what happens with an hsa account after one spouse goes on medicare

by Orville Brekke Published 2 years ago Updated 1 year ago

If your health insurance coverage comes through your spouse’s job, you may lose that coverage when he or she retires and goes on Medicare. Not so long ago, this was a scary and expensive prospect, but things have changed.

Although you can no longer make contributions to your HSA once you enroll in Medicare, the money that has accumulated in your account remains yours to spend tax-free on eligible expenses, including Medicare co-pays or deductibles, vision and dental expenses, or any other eligible expense listed in IRS Publication 502.

Full Answer

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. ...

Can I Leave my HSA to my spouse or beneficiary?

Your spouse can make your HSA their own, and then even pass on the HSA to other beneficiaries in the future. If you are married and your estate is taxable, talk to your attorney about using a revocable trust as the HSA beneficiary.

Can I contribute to a HSA if my spouse has a FSA?

Advise employees that if their spouse (or parent for dependent children) is covered under an FSA which could reimburse their medical expenses, they are not eligible to make or receive contributions to an HSA.

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 happens to my HSA when I enroll in 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 lose my HSA when I go 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.

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 I have an 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.

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 use my HSA for Medicare premiums?

Once you reach age 65, you have more options for using your HSA funds. For example, you may use your funds, free of tax and penalty, for qualified medical expenses as well as to pay for Medicare Parts A, B, D premiums and Medicare HMO premiums.

Can I use my wife's HSA?

In addition to the ability to share a family plan, getting married affords you another financial benefit: the ability to use your spouse's HSA for your health costs. You don't even have to share a health plan in order to access those funds, nor are you restricted to using deposits that accrued after you were married.

What happens to my HSA if I retire?

If you're 65 or older, retired and on Medicare, you're no longer eligible to contribute to the HSA, but can continue to use the funds for qualified medical expenses. If you're 65 or older, you're not limited to using an HSA just for health care expenses.

Can a non-spouse inherit an HSA?

One caution: You should try to spend down the balance by the end of your life, or a surviving spouse’s. Non-spouse beneficiaries do not inherit the HSA’s favorable tax treatment; rather, the HSA’s assets get treated as taxable income.

Do you pay taxes on HSA distributions?

Because you won’t pay income tax on any HSA distributions that are used for qualified medical expenses, it makes the most financial sense to continue to use this money for health care needs, says Fronstin.

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.

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).

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.

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.

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.

How long do you have to pick a new insurance plan after losing your spouse's insurance?

Losing the coverage you had under your spouse's plan will make you eligible for a time-limited special enrollment period in the individual insurance market, on- or off-exchange (note that in this case, you have 60 days before the loss of coverage, and 60 days after the loss of coverage, during which you can pick a new plan).

How long does it take to get Medicare if you don't have Cobra?

If you’re not going to be eligible for Medicare yourself within 18 months (or up to 36 months, depending on the circumstances), you’ll have to come up with another plan for coverage when your COBRA continuation coverage runs out.

Is Medicaid a separate program from Medicare?

It’s easy to confuse Medicaid and Medicare, but they're separate programs with different benefits and different eligibility criteria. In many states, low-income people making up to 138% of federal poverty level are eligible for Medicaid.

Can I get medicaid if my income is low?

If your income is low enough, you may be eligible for government-provided health insurance through Medicaid. In some states, the Medicaid program goes by another name like SoonerCare in Oklahoma or Medi-Cal in California. It’s easy to confuse Medicaid and Medicare, but they're separate programs with different benefits and different eligibility criteria.

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.

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