Can I use a health savings account (HSA) to pay Medicare premiums after I retire?

Question

Bill Green · Accepted Answer

Yes, absolutely. In addition to paying Medicare Part B, Part D, and Medicare Advantage (Part C) premiums, you can also use your HSA funds tax-free to cover out-of-pocket costs like copays, coinsurance, and deductibles for those plans. That includes copays at the pharmacy under Part D or doctor visit copays under a Medicare Advantage plan. HSA funds can also be used for dental, vision, and hearing expenses—even if Medicare doesn't cover them. Just remember, once you're enrolled in any part of Medicare, you can no longer contribute to your HSA, but you can continue to spend what you've already saved. It's a great preplanning tool for managing healthcare costs in retirement with tax advantages.

Answered by Bill Green on March 26, 2025

Broker Licensed in FL, AL, AZ & 19 other states

Answered by Bill Green Medicare Insurance Agent

Larry Dalton · Answer

Yes, this is your savings. However, HSA savings come from a financial account made available through employment. Many of the contributions to this fund are made without paying any taxes on them. Therefore, withdrawing this money from your HSA to reimburse yourself for Medicare premiums, etc., could be subject to taxes if they are not appropriately used for medical expenses.

Answered by Larry Dalton on April 3, 2025

Broker Licensed in OK & TX

Answered by Larry Dalton Medicare Insurance Agent

Lt Col Tim Brown · Answer

Once on Medicare, you go off your insurance plan and either deposit your money in a savings account and use it that way to pay or deposit that money in an investment vehicle and save it. You can pay Medicare premiums via bank draft or if your drawing s.s. It will be drafted from it.

Answered by Lt Col Tim Brown on May 21, 2025

Broker Licensed in TN, AL, CO & 10 other states

Answered by Lt Col Tim Brown Medicare Insurance Agent

Gary Church · Answer

No, you can not use your HSA to pay your Medicare premiums! HSA is to be used for co-payment for medical expenses. Once you turn 65, you can withdraw your money from your HSA account without penalty. Then if you want to pay your Medicare premium with the money.

Answered by Gary Church on May 19, 2025

Broker Licensed in Ca, AZ, NV & TX

Answered by Gary Church Medicare Insurance Agent

Charise Karjala · Answer

No.  HSA cannot be used for premiums.  Just copays and out of pockets for anything medically related.

Dental, vision, glasses, hearing aids, out of network providers, experimental drugs.

Clarence &quot;Mark&quot; Christiansen · Answer

This answer is provided in a video format. Watch the agent's video response here: https://medicareagentshub.com/questions/can-i-use-a-health-savings-account-hsa-to-pay-medicare-premiums-after-i-retire#clarence-christiansen

Misty Bolt · Answer

IF YOU ARE TAKING YOUR SOCIAL SECURITY YOU CAN NOT. MEDICARE WILL TAKE IT OUT OF YOUR CHECK AUTOMATICALLY UNLESS YOU GO ONLINE AND CHANGE IT TO BE TAKEN OUT OF YOUR HSA.

Voss Speros · Answer

Yes you can use your HSA to pay Medicare premiums of Parts B, Part D, and Part C. 

Couple things, once you enroll onto medicare, you can't contribute to your HSA account any longer.  You can't use your HSA to pay for a Supplement/Medigap plan (since these are not medicare or health plans)

David Quintal · Answer

Yes, you can use a Health Savings Account (HSA) to pay Medicare premiums after you retire. HSA funds can be used tax-free to pay premiums for Medicare Part B and D, as well as Medicare Advantage plans

Answered by Charles Mai on April 14, 2025

Broker Licensed in NJ, CA, FL & 6 other states

Answered by Charles Mai Medicare Insurance Agent

Esther Miller · Answer

Yes and no. You have to stop contributing to these plans when you reach 65 and you can't use them for Medicare Supplement (Medigap) premiums, however you use the tax-free distributions for Medicare Part B premiums, Medicare Part D prescription drug coverage premiums or Medicare Advantage premiums or the co-pays you may have to pay for your insurance costs.

Answered by Esther Miller on June 16, 2025

Agent Licensed in WA

Answered by Esther Miller Medicare Insurance Agent

Brady Kidwell · Answer

No you can not use your HSA for Medicare premiums. It can only be used for medical benefits, like doctor / hospital bills and cosmetic procedures.

Steven Bleicher · Answer

Though you can no longer contribute to the HSA, you can use that money to help pay for any health expenses. Once it is all used up, you may want to reach out to your CFP (Certified Financial Planner) who is your important “fiduciary” where the new healthcare costs can emanate?

Answered by Steven Bleicher on June 7, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Timothy Brown · Answer

HSA funds can be used for qualified medical expenses, which include Medicare premiums for Part A (hospital coverage), Part B (medical coverage), Part C (Medicare Advantage), and Part D (prescription drug coverage).

Answered by Timothy Brown on March 28, 2025

Broker Licensed in PA, CT, DE & 15 other states

Answered by Timothy Brown Medicare Insurance Agent

Fred Manas · Answer

Yes, you can use your Health Savings Account (HSA) to pay for Medicare premiums, including Part B, Part D, and Medicare Advantage premiums.
Once you turn 65 and enroll in Medicare, you can continue to withdraw funds from your HSA tax-free for qualified medical expenses, including Medicare premiums and out-of-pocket costs. Specifically, you can remain HSA eligible after 65 as long as you are employed, enrolled in an HSA-eligible high-deductible health plan (HDHP), and not enrolled in Medicare or other non-HDHP insurance. 
You cannot use it to pay for Medicare supplement policies (like Medigap).

Vachik Chakhbazian · Answer

Yes. You can withdraw money from your HSA to reimburse yourself for Medicare premiums that are automatically deducted from your Social Security benefits check.

Carol Thompson · Answer

If you have a HSA established prior to enrolling In a Medicare plan - you can use those funds to pay for Medicare premiums. However, once you are enrolled in Medicare you cannot contribute to a HSA account.

Answered by Carol Thompson on May 14, 2025

Broker Licensed in FL, LA, MI & NC, SC, VA & WI

Answered by Carol Thompson Medicare Insurance Agent

Linda Davies · Answer

Yes, you can use an HSA to pay for Medicare premiums and other qualified medical expenses, even after you enroll in Medicare. However, you can no longer contribute to the HSA once you've enrolled in Medicare. 

You can use your HSA funds to pay for various Medicare expenses, including premiums for Part B, Part D, and Medicare Advantage (Part C). 

You can also use it for qualified medical expenses like copays, coinsurance, and deductibles. 

You cannot use HSA funds to pay for Medicare Supplement (Medigap) premiums. 

Once you enroll in Medicare, you are no longer eligible to make contributions to your HSA. However, you can still utilize the money already in your account for qualified medical expenses. 


After turning 65, you can withdraw money from your HSA for non-medical expenses, but these withdrawals will be taxed as ordinary income.

Deborah Webster · Answer

Yes, you can pay part A& B, and D premiums are eligible. Medicare Advantage premiums would 
also qualify. Medicare supplement or Medigap policy premiums do not qualify for pretax HSA.

Note: Contribution to your HSA account must cease at this time.

Gary Haft · Answer

HSA SAVINGS ARE PERMITRED TO BE USED AFTER RETIREMENT FOR MEDICAL EXPENSES AND I BELIEVE CAN BE USE TO PAY FOR MEDICARE PLAN PREMIUMS - BEING PAID FOR A MEDICARE SUPPLEMENT PREMIUM. I DON’T THINK YOU CAN PAY YOUR MEDICARE PART B PREMIUMS (IRMAA FEES) WITH HSA MONIES.

Answered by Gary Haft on May 19, 2025

Agent Licensed in FL, AL, DC & 9 other states

Answered by Gary Haft Medicare Insurance Agent

Robert Remin · Answer

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.

Answered by Robert Remin on May 19, 2025

Agent Licensed in NY, CT, FL & NJ

Answered by Robert Remin Medicare Insurance Agent

Ross Landon · Answer

Yes, but not directly.  You would have to use personal funds to pay the premiums like using a bank account or credit card. Then you can reimburse yourself by making withdrawals of your HSA, as long as you keep careful records and receipts of your withdrawals so you can prove those are Medicare qualified expenses! 

Advantage plans do qualify as well as copays & coinsurance, however Medicare Supplement premiums do not qualify!

Glenn Soucek · Answer

The question is whether you can use a Health Savings Account (HSA) to pay for medical premiums after you retire. Once you enroll in Medicare, you can no longer contribute to your HSA. However, you can still withdraw money from your HSA after enrolling in Medicare to help cover medical expenses, including deductibles and even premiums.

Answered by Glenn Soucek on June 17, 2025

Agent Licensed in IL

Answered by Glenn Soucek Medicare Insurance Agent

Humara Riaz · Answer

YES, Eligible Medicare Premiums You Can Pay with an HSA

You can use your HSA funds tax-free to pay premiums for:

Medicare Part B (Medical Insurance)

Medicare Part D (Prescription Drug Coverage)

Medicare Advantage Plans (Part C)

Charles Mai · Answer

Yes, you can use a Health Savings Account (HSA) to pay Medicare premiums after you retire. HSA funds can be used tax-free to pay premiums for Medicare Part B and D, as well as Medicare Advantage plans

Shannon Brenneke · Answer

You can use the HSA funds to pay for your Part A, B and/or D premiums.  You may not pay for a Medicare Supplement premium with your HSAfunds.

Jesus Escamilla · Answer

Yes, you can use a health savings account to pay Medicare premiums after you retire. Using your health savings account to pay for Medicare Part B, Part C, and Part D premiums is allowed and tax-advantaged after you retire. Just remember to stop new contributions once you enroll in Medicare and keep documents for any reimbursements.

Answered by Jesus Escamilla on June 2, 2025

Broker Licensed in TX, AL, AR & 34 other states

Answered by Jesus Escamilla Medicare Insurance Agent

Can I use a health savings account (HSA) to pay Medicare premiums after I retire?

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