ACA health insurance
Who can contribute to an HSA, and what Medicare changes
You can contribute while you have a qualifying high-deductible plan, are not enrolled in Medicare, and cannot be claimed as someone else's dependent. The IRS sets a yearly limit, with a higher limit for family coverage and a catch-up amount from age 55.
The basic rules
- You need qualifying coverage for the months you contribute.
- Enrolling in any part of Medicare ends your ability to contribute.
- A family plan has a higher limit than self-only coverage.
- People 55 and older can add a catch-up contribution.
What does not change
You keep the money you already saved. You can keep spending it on qualified medical expenses after you enroll in Medicare, including some Medicare premiums.
Have this ready when you call
- Your coverage start dates
- Whether you or a spouse have Medicare
- Your age
Common questions
I am turning 65. What do I need to know?
Coverage can start up to six months before you apply if you sign up for Social Security after 65, so stop contributing early enough to avoid an excess contribution.
Can my spouse's expenses be paid from my HSA?
Generally yes, for qualified medical expenses of you, your spouse and your tax dependents.
Related answers
Rather talk it through?
Call 855-367-1095 and a licensed agent will go through your situation with you. There is no charge to ask, and no obligation to enroll.
- Licensed insurance help
- No guaranteed eligibility, pricing, or availability
- Educational starting point
Information on this site is educational and does not guarantee eligibility, enrollment, pricing, or availability. It is not a recommendation to buy any specific plan or policy.