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Does Medicare affect health savings accounts?

Q. I have an HSA, but I’m turning age 65 in November. Can I still contribute to the HSA if I enroll in Medicare Part A? A.G., Waterbury, Conn.

A.
No. A Health Savings Account (HSA) enables someone with a high-deductible health insurance plan to set aside funds (within certain annual limits) on a pretax basis. However, if you sign up for any part of Medicare (Part A generally covers hospital expenses), you’re no longer eligible to contribute to the HSA.

Tip: You can postpone participation in Medicare Part A if you also defer receipt of Social Security benefits.

Small Business Tax Deduction Strategies: 10 tips on Section 179, home office write-offs for the self-employed, tax deductions for vehicles, rental depreciation, real estate capital gains and more!

2 Responses to "Does Medicare affect health savings accounts?"

 
Darrell Perkinsd
said this on 19 Oct 2009 5:03:19 PM EST
You cannot continue to contribute into an HSA once you have Medicare. You would also need to prorate your 2009 HSA contributions so you do not find yourself in an overcontribution situation due to the IRA "testing period" and recapture rules. If you have single coverage and are over 55 then your max would be 1/12th of $4,000 per month of HSA eligibility in 2009. $3,000 max single contribution plus $1,000 catch up. If you have family HSA compatible coverage then your max would be 1/2th of $6,950 for each month of eligibility. $5,950 family max plus $1,000 catch up. If your spouse is also 55+ and not yet on medicare and meets all HSA eligibility rules she may also set up her own HSA account inorder to make a catch up contribution.

 
Rita
said this on 09 Nov 2009 2:48:21 PM EST
Our employee was signed up for Medicare Part A by Social Security earlier this year even though he told them he had an HSA and wanted to keep it (He has a High deductible plan which covers him and an under-65 spouse) He has been trying to "disenroll" from Part A for several months now, and Social Security recently told him Part A coverage is mandatory. BTW, they also told him they had no idea what an HSA was. Any thoughts on his situation? Thanks.




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