Medicare Blog

why stop hsa contributions 6 months before medicare

by Dr. Nathaniel Rath Published 2 years ago Updated 1 year ago

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.

When should you stop funding your HSA?

Dec 20, 2021 · An authority on health savings accounts (HSAs) advises HR teams to inform employees over age 65 that if they contribute to an HSA during the six-month period before enrolling in Medicare they can ...

When do HSA contributions stop?

But because you are retroactively “enrolled” in Medicare for an extra six months, you could be penalized after the fact if you contribute to your HSA during those months. To avoid this, you must stop depositing HSA funds to your account six months in advance of your application through Social Security. Once you apply for Medicare, you can no longer receive new HSA …

What is the penalty for having a HSA and Medicare?

Jul 12, 2021 · If you contribute to your HSA during those 6 months, you may face a 6% excise tax and an income tax for those contributions. This "6-month lookback" starts when you enroll in Medicare or begin your Social Security retirement benefits. However, you can withdraw those contributions by the end of the tax year to avoid the excise tax.

When should I Stop my Health Savings Account contributions?

As soon as you are no longer covered (COBRA doesn’t count!), make sure you sign up for Part B and D. This means you will need to stop your HSA contributions 6 months before this. Remember that either Medicare part A or part B makes you ineligible to contribute to your HSA. And also, remember the 6-month lookback rule.

When should I stop contributing to my HSA before 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.Jul 1, 2021

Can I contribute to an HSA the year I start Medicare?

6. 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.

What happens if you contribute to an HSA while 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.

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.

Do I have to stop contributing to my HSA when 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.

Can I use HSA funds after 65?

At age 65, you can withdraw your HSA funds for non-qualified expenses at any time although they are subject to regular income tax. You can avoid paying taxes by continuing to use the funds for qualified medical expenses.

How do I use my HSA to pay Medicare premiums?

After you turn 65, you can use HSA money tax-free to pay premiums for Medicare parts B and D and Medicare Advantage plans (but not premiums for Medicare supplement policies), in addition to paying for other out-of-pocket medical expenses.Mar 27, 2019

Does Medicare coverage start the month you turn 65?

For most people, Medicare coverage starts the first day of the month you turn 65. Some people delay enrollment and remain on an employer plan. Others may take premium-free Part A and delay Part B. If someone is on Social Security Disability for 24 months, they qualify for Medicare.

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 ...

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 is Social Security backdated?

When you receive Social Security retirement benefits, your Part A coverage is back-dated 6 months (but no earlier than the first month you're eligible for Medicare) to give you 6 months of back-dated benefits.

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.

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.

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.

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.

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.

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.

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.

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 long do you have to stop contributing to HSA before applying for Medicare?

To avoid a tax penalty, you should stop contributing to your HSA at least 6 months prior to applying for Medicare. You can withdraw money from your HSA after you enroll in Medicare to help pay for medical expenses, however, if you contribute to your HSA after obtaining Medicare status, you can be assessed penalties of 6%.

How does HSA work?

HSAs allow you to contribute pre-tax money to your account. Later you can utilize the money for a wide variety of health services. Some of these services are not even eligible under Medicare – such as vision and hearing, but you can use your HSA to pay for them.

What is an HSA account?

An HSA is a Health Savings Account. It is a type of Consumer-Directed Healthcare account (CDH accounts). HSAs are related to Health Reimbursement Arrangements (HRAs) and Flexible Spending Accounts (FSA). If you are turning 65, you can keep the HSA that you’ve built up, but you should not contribute to it.

When is a non qualified contribution taxed?

Funds used for qualified expenses after age 65 will not be taxed. And, if you use the funds after age 65 for non-qualified expenses, they’ll be taxed. Non-qualified expenses are typically non-medical expenses.

Do HSA contributions have to be taxed?

Contributions and funds used for qualified expenses are not taxed. HSA balances and interest roll over from year to year. You do not have a “use it or lose it” feature with an HSA. Because of this, they are extremely attractive for younger people who want to save as much tax-free money as they can.

Is an HSA taxed?

Because they are normally not taxed for qualified expenses, HSAs are incredibly useful funds. If you’d like to continue to get health benefits through an HSA-like benefit structure after you enroll in Medicare, a Medicare Advantage Medical Savings Account (MSA) Plan might be an option.

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